Health Record Clerk jobs in Ontario

The MDS Coordinator reports to the Manager, Clinical Coding & Data Quality Manager and works collaboratively with all members of the Leadership Team and Clinical Leaders. They are responsible for leading and coordinating all aspects of the Resident Assessment Instrument (RAI) (MDS/RAPs/RUGs). The MDS Coordinator ensures accuracy of data and distribution of data within the timelines mandated by the government.

Responsibilities

• Meet the mandated reporting requirements of the Ministry of Health and the CIHI-IRRS (InterRAI Reporting System)
• Coordinate all required interRAI per the Ministry of Health and CIHI regulations to ensure timely completion
• Timely transmission of all required patient assessment data per CIHI guidelines
• Prepare overall MDS assessment schedule
• Monitor MDS activities on the Units and alert appropriate parties to deadlines requiring attention to ensure timely completion
• Prompt/alert MDS – Assessors (staff) when a change of condition MDS needs to be initiated
• Audit MDS to ensure accuracy and consistency
• Notify the Manager of any barriers to timely, accurate completion and/or transmission of interRAIs
• Collaborate with Clinical Leaders, Clinical Educators and Directors
• Supervise the data entry clerk, ensuring data quality in MDS data
• Revise and make necessary modifications of information gathering tools and team processes to enhance assessment accuracy and efficiency
• Revise standardized methods of collecting data when needed
• Revise/ interdisciplinary role statements when required
• Develop procedural guidelines
• Develop communication networks with the Ministry of Health, Canadian Institute of Health, USA facilities with experience with the Classification System, other rehabilitation and chronic care facilities, and local agencies such as the Placement Coordination
• Play pivotal role in implementing the use of RAP, Outcome Measure and Quality indicator in day-to-day patient care
• Promote the use of Clinical Information housed in MDS assessment for daily patient care decision making
• Facilitate accuracy in assigned Resource Utilization Group (RUG) for each patient by providing regular feedback to the coders
• Conduct data quality audits to ensure data accuracy and integrity
• Provide coverage for NRS Coordinator vacation and other absences

Education:

• Develop and provide educational workshops for the interdisciplinary team members and primary assessors for both current and new employees
• Develop and update resource materials
• Provide user training and support
• Support assessors with their learning needs for both the clinical assessments and online skills
• Act as a resource regarding the assessment tool content and process requirements
• Act as a resource regarding utilization of the computer software program which supports the classification system
• Provide education and support to management staff in the use of clinical data

Computer – software support

• Assess computer software suitability, assist in acquisition of software if/when required
• Lead configuration and testing of upgrades and updates in Winrecs and EPIC
• Support of LIVE implementation
• Liaise and collaborate with the MIS department for resolution of software issues
• Ongoing troubleshooting and support for staff
• Identify needs and request appropriate custom reports (NPR) as necessary
• Ensure assessors have MDS online access and the appropriate authorization
• Maintain current list of all assessors’ access
• Daily monitoring of ADT-EPIC information transfer via the interface

Submission of relevant clinical information to the Ministry

• P erform and/or ensure audit for the entire quarter in preparation for the submission to CIHI
• Supervise submission of data to ensure all pertinent records are received by the government within the mandated timelines
• Ensure required corrections are completed and the data is resubmitted to the government

Qualifications

• Bachelor of Science in a clinical discipline required
• Member of a Health Discipline required
• Previous bedside experience preferred
• Previous experience in a leadership position preferred
• Project management experience preferred
• Self-motivated and ability to work independently
• Strong organizational skills
• Excellent interpersonal communications skills and ability to build effective working relationships with staff
• Extensive knowledge in the use and operation of word-processing, spreadsheets, and electronic medical record systems (EPIC, Winrecs, 3M, etc.)
• Knowledge of adult leaning principles and ability to facilitate education and training
• Maintain up to date knowledge regarding Ministry of Health and CIHI guidelines relative to the interRAI process and CMIs
• Evaluate own needs for professional development to maintain high level of competence and practice
• Demonstrate complex decision-making ability, creative problem-solving skills, and critical thinking skills
• Experience in project evaluation preferred
• Recommend software enhancements to improve processes/function
• Knowledgeable in rehabilitation assessment tools, such as the National Rehab Reporting System (NRS)

Unity Health Toronto is committed to creating an accessible and inclusive organization. We strive to provide a recruitment process that is barrier-free and in compliance with the Accessibility for Ontarians with Disabilities Act (AODA) and the Ontario Human Rights Code. We understand that you may require an accommodation at any stage of the recruitment process. When you are contacted, please inform the Talent Acquisition Specialist and we will work with you to meet your accommodation needs. We want to emphasize that all accommodation requests are handled with the utmost confidentiality, respecting your privacy and dignity.