Health Information Management Professional - Alberta Health Services

Your Opportunity:

As a 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 and jurisdictional directives, as well as CIHI rules and guidelines.

In this position, you will use thorough attention to detail to ensure the validity, integrity, and reliability of coded data while maintaining a high standard of quality. You will also have the opportunity to participate in and contribute to data quality initiatives and workflow efficiencies.

Applicants will be required to write and pass a provincial coding proficiency test with a minimum score of 70% prior to advancing to the interview stage. Location is negotiable within Alberta, and a Northern Allowance is in place for applicable geographical locations.

Key accountabilities include, but are not limited to, reviewing clinical documentation and applying diagnoses, interventions, and coding conventions to ensure the accuracy and completeness of coded data. This role also involves reviewing and remediating edits and warnings, identifying issues related to patient encounters, clinical documentation, coding and abstracting, and escalating guidance and resolution as needed. In addition, you will run and reconcile various reports.

The employee shall maintain the confidentiality of all Alberta Health Services (AHS) information in accordance with Alberta access and privacy legislation and shall always comply with Alberta Health Services’ Information Privacy and Information Security policies.

Work location is negotiable within the province.

Description:

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.

Required Qualifications:

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).

Additional Required Qualifications:

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).

Preferred Qualifications:

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.