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Royal Victoria Regional Health Centre

The ROYAL VICTORIA REGIONAL HEALTH CENTRE, proud recipient of the Healthy Hospital Innovators Award, is a state-of-the-art, 500,000 square-foot facility located in Barrie, Ontario, one of the fastest growing cities in Canada. Our team of over 250 skilled physicians, 2155 caring staff members, and 1,100 dedicated volunteers provides outstanding healthcare specializing in Cancer Care, Surgical Care, Critical/Emergency Care, Medical Care, Mental Health as well as Women and Children’s programs. Annually the RVH admits more than 15,500 patients, delivers more than 2300 babies and handles more than 80,000 visits to the Emergency Room.

Position:  Clinical Documentation Improvement Specialist #1647

Region:  Barrie & Area

Description:  The Clinical Documentation Improvement Specialist (CDI) facilitates improvement in the overall quality, completeness and accuracy of medical documentation. This individual will perform concurrent and/or retrospective medical record reviews. This position interacts with Physicians, Clinical staff, and Coding Specialists to ensure accuracy and completeness of clinical documentation which supports patient care, funding, research and hospital utilization. This individual will provide education, develop tools and support the Physician query process.

Building rapport/relationships
•Foster relationships between various disciplines
•Liaison between clinical and business side of healthcare
•Facilitate extensive day-to-day interaction with physicians and coding specialists

•Target clinical groups and chart selection
•Chart review and analysis (review record for complications/comorbidities that were monitored, evaluated or treated; search for clinical evidence to support presence of a diagnosis versus coding of a symptom)
•Send queries and follow up (abnormal test results not addressed; Medication ordered without supporting diagnosis; Conflicting documentation between providers) *Query is verbal or written communication between a coder and physician for increased specificity and clarification of documentation and accurate code assignment.
•Summary of results (Identify trends in data to determine opportunities for education)
•Present findings to enable timely, accurate and complete documentation of clinical information used for measuring and reporting physician and facility outcomes.


•Graduate from an approved Health Information Management Program; or
•Degree in Health Information Management; I and II require certification with CHIMA and in good standing ; or
•Bachelor of Science in Nursing Degree

•Minimum of two years’ experience in nursing or other clinical area, Inpatient coding, process improvement
•Utilization review/case management in an acute care facility
•Demonstrated knowledge of Inpatient coding utilizing Canadian Coding Standards and ICD10/CCI
•Working knowledge of Health Based Allocation Model Inpatient Grouping methodology (HIG) and Health System Funding Reform (HSFR)

•Effective interpersonal skills in order to interact with all levels
•Organization and prioritization skills
•Effective written and verbal communication skills
•Analytical Skills
•Self- directed individual with diverse clinical knowledge
•Highly developed problem solving and critical thinking skills
•Proficient computer skills

•Certification with the Canadian College of Health Information Management

Salary:  $37.27-$43.68/Hour

Terms of Employment:  Full-Time

Deadline for Application:  Monday, July 23, 2018

How to Apply:  Applications accepted only via, click on RVH Career Opportunities and search for Requisition #1647.

Location:  Barrie, Ontario

Profession Type:  Other

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