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Alberta Health Services
As a Health Information Management Professional - Clinical Coding Specialist (CCS), you will review clinical documentation from patient health records and assign diagnoses and intervention codes using the ICD-10-CA/CCI classification systems in accordance with provincial, jurisdictional directives and CIHI rules and guidelines.
In this position, you will use your thorough attention to detail to ensure validity, integrity and reliability of coded data and maintain a high standard of quality. You will have the opportunity to participate and contribute to data quality initiatives and workflow efficiencies. Applicants will be required to write and pass a provincial coding proficiency test with a score of 70% prior to advancing to the interview.
Note: Location may be negotiable within the province of Alberta. Key accountabilities include, but are not limited to: Reviews clinical documentation and applies diagnoses, interventions, and coding conventions to ensure the accuracy and completeness of coded data. Reviews and remediates edits and warnings.
Identifies issues related to patient encounters, clinical documentation, coding and abstracting and escalates for guidance and resolution. Runs and reconciles various reports. In accordance with Health Information Act (HIA), Freedom of Information and Privacy (FOIP) and other privacy legislation in effect the incumbent shall comply at all times with APL / AHS’s Information Privacy and Information Security policies.
As a Health Information Management Professional I, you will be responsible for coding and abstracting data from clinical records, release of information and/or data quality assurance.
In accordance with AHS procedures and the Health Information Act, you will gather, retrieve, collate, code, design, analyze, interpret clinical and demographic data and perform statistical reporting and regular data quality reviews for patient records.
Completion of diploma from an accredited Health Information Management Professional (HIMP) program. Active or eligible for registration with the Canadian Health Information Management Association (CHIMA).
Knowledge of current Canadian Coding Standards and Discharge Abstract Database (DAD) and National Ambulatory Care Reporting Standards (NACRS) Abstracting Manuals for the collection of diagnoses, interventions and specific data elements. Experience with Microsoft Office applications (Outlook, MS Teams, Word, Excel, PowerPoint) and a demonstrated pattern of professional and personal development.
Ability to work independently with strong organizational, time management, analytical, and technical skills to effectively handle demands of workload and deadlines, working effectively under pressure and showing good judgment. Effective interpersonal and communication skills (verbal and written).
1-year minimum coding experience with ICD-10-CA/CCI. Consideration given to those who have not coded within 2 years but have a certificate from a CCHIM approved Coding Refresher or Coding Specialist Program. Experience with Connect Care (EPIC) and 3M HDM abstacting system.
Certified Coding and Classification Specialist (CCCS) certification with CCHIM. Certificate of completion from Coding Specialist Program, Coding Refresher or other coding & classification programs recognized by CCHIM.
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