Casual Health Records Technician

• 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
• Attend and participate in Inservice educational sessions and on-the-job training programs, workshops, seminars, as approved
• Promote goals and objectives of the corporation
• Adhere to the Occupational Health & Safety programs, standards and practices
• Adhere to policies and procedures
• Adhere strictly to principles of confidentiality
• Promote continuous quality improvement principles and participate in ongoing activities
• Other duties as directed by the Supervisor Health Records & Registration/designate
• Assist in preparation, downloading and distribution of statistical data
• 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
• 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
• Prepare monthly Release of Information report
• Assist Supervisor of Health Records & Patient Information Services in the preparation and distribution of statistical reporting
• 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
• Assist Director Health Informatics & Privacy in various chart audits

• 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

experience is an asset