Health Information Management Professional - Health Records

Job Number: J1026-0713

Job Title: Health Information Management Professional - Health Records

Department: Health Record Coding Services

Job Type: Casual

Action Required:

Replacing a current budgeted position

Job Category: Administration / Clerical

Union: OPSEU Paramedical

Open Positions: 1

Date Posted: November 6, 2026

Closing Date: November 12, 2026

Hours of Work:

0800 - 1600

Position Summary

Reporting to the Health Information Management Manager, the Health Information Management (HIM) Qualified is responsible for the accurate coding and abstracting of inpatient, day surgery, endoscopy, dialysis, oncology, bundled care physiotherapy, Emergency Department patient visits, and NSQIP data in accordance with Canadian Institute of Health Information (CIHI), Ministry of Health and Hospital standards. This role supports organizational reporting, funding, and quality initiatives by ensuring timely, accurate data submission while maintaining high standards of productivity, data quality, confidentiality, and professional practice. The position may be required to support additional coding sectors as operational needs arise.

Key Responsibilities

- Codes and Abstracts health records using the International Statistical Classification of Diseases and Related Health Problems, Tenth Version, Canada (ICD-10 - CA) and the Canadian Classification of Health Interventions (CCI).
- Reviews health records in their entirety to accurately assign disease and procedural codes according to accepted systems of classification (ICD-10 - CA, CCI).




- Enter coded and abstracted data into the Med2020 WinRecs software in a timely and accurate manner.
- Maintains productivity levels to meet facility standards and ensures compliance with CIHI and Ministry of Health Long Term Care (MOHLTC) Data Submission timelines.
- Applies knowledge of Case Mix Groups (CMGs), comprehensive Ambulatory Care Classifications (CACs), Resource Intensity Weights (RIWs), case complexity and funding formulae.
- Assigns diagnosis types in accordance with approved CIHI coding standards and guidelines.
- Ensures timely and accurate submission of facility information to CIHI within established deadlines set by the Ministry of Health, CIHI, and the Hospital.
- Identifies discrepancies, omissions, or inconsistencies within health records and notifies appropriate team members to support correction and clarification.
- Identifies and communicates when coded visits are registered to incorrect MIS centers in the EMR.
- Conducts data quality reviews on a monthly, quarterly, and annual basis and corrects coded data as required.
- Monitors CIHI, Ontario Health and other governing bodies to remain current with changes to coding standards or submission requirements.
- Reviews health records to assign ICD-10 and CCI codes for uninsured, refugee,



or federally funded patients as required by Finance and Ontario Health.
- Prepares reports and responds to internal and external data requests using coded and abstracted information as required.
- Actively participates in clinical documentation improvement initiatives to support data quality and completeness.
- Establishes and maintains effective working relationships with internal and external partners.
- Safeguards patient confidentiality and manages health information in accordance with PHIPA, hospital policies, and professional standards.
- Participates in meetings, training, and education sessions as required to maintain competence and support departmental objectives.
- Performs other duties as may be assigned by the direct manager or designate.

Qualifications

Education

- Completion of an approved course for Health Information Professionals is required.
- An active certified member in good standing with the Canadian Health Information Management Association is required.

Experience

- Minimum of two (2) years’ experience working in a Health Records setting is required.
- Minimum of two (2) years’ experience in ICD-10 CA, CCI NACRS coding and abstracting is required.
- Previous experience with Med2020 WinRecs abstracting system is an asset.
- Previous experience with Cerner Hospital Information Systems is an asset.
- Previous experience with NSQIP is an asset.

Skills and Traits

- Keyboarding skills; minimum of 40 words per minute required.
- Must be able to meet the physical and emotional responsibi

📌 Health Information Management Professional (Canada)
🏢 Perfdrive
📍 Canada