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JOB
DESCRIPTION
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POSITION (Title):
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Full-Time
Health Records Technician
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DEPARTMENT/SERVICE AREA:
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Health
Records
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SITE:
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La
Verendrye General Hospital
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REPORTS TO (Title):
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Supervisor,
Health Records & Registration
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The Health Records Department has an opening
for a Full-Time Health Records Technician position. The successful candidate
must be able to meet the normal requirements of the job and possess the
following qualifications:
QUALIFICATIONS NECESSARY:
- Grade
12 or equivalent acceptable to the Corporation;
- Registered
Certified Health Information Management professional;
- Current
membership with the Canadian Health Information Management Association
(CHIMA);
- Entry
level technician willing to expand job knowledge and skills, experience is
an asset.
- Understands
and maintains confidentiality;
- Excellent
organizational skills;
- Proficient
use of computer software, including Word and Excel;
- Effective
communications skills, both verbal and written;
- Ability
to perform varied tasks with minimal supervision;
- Dependable
with an excellent attendance record;
- Physically
capable of performing the essential duties of the job.
BASIC RESPONSIBILITIES:
Under the
direction of the Supervisor Health Records & Registration is responsible
for coding, abstracting and submission of Health Records information using
ICD-10-CA/CCI Coding Classification System/Coding Standards.
Under the guidance of the Supervisor of Health Records
and Registration is responsible for Medical/Legal Release of Information.
GENERAL DUTIES:
1. Attend
and participate in in-service educational sessions and on-the-job training
programs, workshops, seminars, as approved.
2. Promote
goals and objectives of the corporation.
3. Adhere
to the Occupational Health & Safety programs, standards and practices.
4. Adhere
to policies and procedures.
5. Adhere
strictly to principles of confidentiality.
6. Promote
continuous quality improvement principles and participate in ongoing
activities.
7. Other duties as
directed by the Supervisor Health Records &
Registration/designate.
BASIC
RESPONSIBILITIES:
1. Assist
in preparation, downloading and distribution of statistical data.
SPECIFIC DUTIES:
ICD-10-CA/CCI CLASSIFICATIONS
- Code
and abstract Health Records using ICD-10-CA/CCI Coding Classifications
Systems and standards for Discharge Abstract Database (DAD) and National
Ambulatory Care Reporting System (NACRS).
- Perform
data quality checks on DAD and NACRS data prior to submission to Canadian
Institute for Health Information (CIHI).
- Perform
month end balance of DAD and NACRS data prior to submission to Canadian
Institute for Health Information (CIHI).
- Submit
data via the CIHI Web site, relating to DAD and NACRS meeting CIHI and
Ministry of Health and Long-Term Care submission schedule.
- Receive
error messages from CIHI, correct and resubmit corrections to CIHI.
Release of Legal/Medical Information
· Receipting and Logging of all Medical/Legal Information Requests.
· Responding to and preparing of all Medical/Legal Information Requests.
· Maintaining all files related to release of information.
· Preparing and submitting invoice for Business Office.
· Obtain proper patient consent.
Statistical
· Prepare monthly Release of Information report.
· Assist Supervisor of Health Records & Patient Information Services
in the preparation and distribution of statistical reporting.
Quantitative and Qualitative
Analysis of Patient Records
- Perform
Quantitative Analysis on all in-patient records to identify deficiencies.
- Prepare
and distribute deficiency slips for Nursing Deficiencies.
- Enter
all Physician Deficiencies in the Physician Deficiency Log and place
charts on Incomplete Record Shelf and/or in Physicians Deficiency Folder
accordingly.
- Perform
recheck on patient records once physician has completed, process chart
accordingly and make adjustments to the Physician’s Deficiency Log.
- Prepare
and distribute Physician Deficiency Letters on a bi-weekly basis.
REPORTING:
· Assist Supervisor Health Records &
Registration in various chart audits
POSITION AVILABLE:
· This Full-Time position will commence: As
soon as possible.
CONDITIONS
OF EMPLOYMENT:
1. Human Resource Policies
2. Corporation Policies
3. Departmental
Policies
4. Union
Contract