Job Description
Qualifications - Grade 12 education (MB Standards)
- Certification with the Canadian Health Information Management Association
- Graduate of a Health Information Management Professional Program; current enrollment in the Health Information Management Program may be considered
- Knowledge of and ability to apply the following within a hospital setting: medical terminology, pathophysiology and the principles and practices of health information science, ICD-10-CA and CCI, and the Canadian Coding Standards
- Knowledge of and experience in the legal requirements of the Personal Health Information Act (PHIA)
- Experience in a health information services environment in a health care setting with a focus on health information data management and promotion of data quality and integrity
- Proficiency with Microsoft programs (Outlook, Word, Excel, Access and PowerPoint), as well as Internet applications and other Information Technology
- Province of Manitoba Class 5 Drivers License, and access to a personal vehicle to provide service within Prairie Mountain Health
- Demonstrated organizational skills, and the ability to work independently
- Demonstrated communication skills
- Demonstrated flexibility to facilitate changes in techniques and procedures
- Ability to display independent judgment
- Ability to respect and promote a culturally diverse population
- Ability to respect and promote confidentiality
- Ability to perform the duties of the position on a regular basis
Position Summary Reporting to the Manager, Health Information Services, the Health Information Management Professional codes and abstracts all inpatient and same day care health records accurately and efficiently. The Health Information Management Professional functions according to CIHI Standards and utilizes the appropriate Coding Classification System.
Responsibilities Overview: - Coding and abstracting of all inpatient and same day care records with adherence to provincial deadlines.
- Perform Release of Information, adhering to legislative requirements including the Personal Health Information Act and any other related legislation and policies/procedures.
- Perform Privacy Delegate duties as per PMH policies and current legislation.
- Identify third party and non-insured patient billings, prepares specific reports and forwards information to business office for invoice preparation; as required.
- Perform quantitative and qualitative analysis on each Inpatient/Emergency/SDC Discharge, ensuring the quality, accuracy and completeness of the health record and of the health record data; as required.
- Maintain records of physician deficiencies and prints physicians’ reports.
- Scan health records into appropriate data systems, as required.
- Verify accurate information is on the Admission/Discharge form and collect applicable charges upon discharge of patients; as required.
- Assist the Manager, Health Information Services with medical and/or other audits involving the health record as well as medico-legal issues as required.
- Establish and maintain a system of standardized chart order, chart retrieval and filing; as required.
- Perform Health Information Clerk / Receptionist Clerk functions; as required.
- Complete transcription duties; as required.
- Respond appropriately to emergency calls/codes; as required.
- Greet and direct patients and visitors in an unbiased manner; as required.
- Comply with Provincial Productivity Standards re: job performance.
- Sundry duties as assigned.
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