Coding Analyst II, Discharge Abstract Database; DAD

Company Description

UHN is Canada’s #1 hospital and the world’s #1 publicly funded hospital. With 10 sites and more than 44,000 TeamUHN members, UHN consists of Toronto General Hospital, Toronto Western Hospital, Princess Margaret Cancer Centre, Toronto Rehabilitation Institute, The Michener Institute of Education and West Park Healthcare Centre. As Canada's top research hospital, the scope of biomedical research and complexity of cases at UHN have made it a national and international source for discovery, education and patient care.

UHN has the largest hospital-based research program in Canada, with major research in neurosciences, cardiology, transplantation, oncology, surgical innovation, infectious diseases, genomic medicine and rehabilitation medicine. UHN is a research hospital affiliated with the University of Toronto.

UHN’s vision is to build A Healthier World and it’s only because of the talented and dedicated people who work here that we are continually bringing that vision closer to reality.

• Union:
  Non-Union
• Number of Vacancies: 1
• New or Replacement Position:
  Replacement
• Site:
  Toronto General Hospital
• Department:
  Coding and Abstracting
• Reports to:
  
  Manager
• Salary Range: $68,932 - $103,409 per annum
• Hours:
  
  37.5 hours per week
• Status:
  Permanent Full-Time
• Closing Date:
  October 1, 2026

Position Summary

As an integral member of the Coding and Abstracting Department, the Health Information Management (HIM) Professional – DAD Coder, utilizes his or her technical, analytical and decision-making skills to make appropriate interpretations of ambulatory clinical documentation, drawing upon his or her knowledge of medical and surgical terminology, anatomy, pathology, physiology, pharmacology, and the national and provincial coding standards.

• - Inpatient Coding:
  The HIM professional draws upon his or her knowledge of anatomy, pathology, physiology, medical and surgical terminology, pharmacology, and national and provincial coding standards and conventions to make appropriate interpretations of the patient experience as described in relevant dictated and/or written clinical documentation associated with an ambulatory (emergency and day surgery) visit for the purpose of coding and abstracting all mandatory health data required to complete a DAD inpatient abstract as per the Canadian Institute for Health Information (CIHI) guidelines, Ontario Ministry of Health (MOHLTC) directives and University of Health Network (UHN) strategic initiatives.
  
  Abstracted information is entered through an electronic abstracting system.
• - Diagnosis:
  Interprets and determines all relevant conditions described by the physician and/or other health providers associated with the ambulatory visit being reviewed. Utilizing the International Statistical Classification of Diseases and Related Health Problems, 10th edition (ICD-10-CA)
• - Intervention:
  Interprets the operative report and/or other procedure notes to determine all relevant interventions performed on the patient during their hospital stay. Uses the Canadian Classification of Health Interventions (CCI) classification system to select appropriate intervention codes.
• - Providers:
  Identifies all providers, which includes attending physician(s), consultant(s), and allied health professional(s), associated with the patient visit. Selection of most responsible physician impacts strategic planning and program reviews.
• - Verifies and collects other relevant health data such as responsibility of payment, blood transfusion data, and other facility-defined data elements such as site. Responsibility of payment identifies Out-of-Province and WSIB cases. Collection of this information facilitates billing for these special cases.
• - Performs quality management…