Medical Insurance Billing Coding jobs

Position Details

Job Number:

JR01579

Department:

Coding and Health Information

Job Type:

Regular, Full time

Work Environment:

Hybrid

Contract Duration: (If applicable)

0 months

Number of Positions:

1

Hourly Rate (Min / Max):

$47.4658 - $55.026

Schedule

Work Days:

Monday to Friday

Time of Day:

Days

Shift:

Hours - 7.5

Shift Start: (If applicable)

Reason for Posting:

Posting is for a role with an existing vacancy

Application Dates

Opening Date:

2026-08-18

Closing Date:

2026-08-25

Job Description

Key Responsibilities

Team Leadership, Education, and Operational Oversight

• Provide day-to-day leadership, oversight, training, and support to Clinical Coding Specialists.
• Monitor coding productivity, quality metrics, workflow management, and reporting deadlines.
• Provide guidance on CIHI coding standards, DAD and NACRS abstracting requirements, Ministry directives, and organizational policies.
• Lead data quality initiatives, analyze audit findings and develop communication and improvement strategies to address knowledge gaps and coding trends.
• Act as a subject matter expert for coding inquiries and complex case reviews.
• Educate staff on case mix methodologies, CMG/HIG weighting, Quality Based Procedures (QBP), and funding implications.
• Participate in recruitment, onboarding, coaching, and performance management activities.

Clinical Documentation Improvement and Funding Optimization

• Lead clinical documentation improvement initiatives that enhance coding accuracy, reporting quality, and funding outcomes.
• Partner with physicians, clinicians, operational leaders, and Digital Solutions teams to improve documentation practices.
• Identify documentation gaps, risk areas, and trends that impact coding completeness and case mix reporting.
• Develop, maintain, and improve data quality standards, audit processes, data dictionaries, documentation guidelines, and reporting controls.

Reporting, Analytics, and Regulatory Compliance

• Manage timely and accurate submission of DAD, NACRS, ERNI, opioid reporting, and other mandatory provincial and national reporting requirements.
• Monitor compliance with submission schedules and regulatory deadlines.
• Analyze coded clinical data to support funding, quality improvement, operational planning, utilization management, and organizational decision-making.

Qualifications

• Graduate of a recognized Health Information Management diploma program.
• Bachelor's degree in Health Information Management or related discipline preferred.
• Active certified member in good standing with the Canadian Health Information Management Association (CHIMA).
• Additional certifications related to health information management, healthcare analytics, or clinical documentation improvement considered an asset.

Experience

• Minimum three-to-five (3-5) years of current DAD and NACRS coding and abstracting experience.
• Minimum three (3) years of experience with CIHI data submissions and regulatory reporting requirements.
• Demonstrated advanced knowledge of ICD-10-CA/CCI classifications, DAD and NACRS Abstracting Manuals, Canadian Coding Standards, Ministry directives and funding methodologies.

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St. Joseph’s Health System (SJHS) and its member organizations are equal opportunity employers and strives for equity, inclusiveness, and diversity in all programs, practices, facilities, and people. We foster a culture of patient and staff safety where all positions comply and work in conjunction with the Mission, Vision, and Core Values .

We thank all applicants for their interest, however, only those selected for an interview will be contacted. SJHS and its member organizations are committed to a barrier-free recruitment and selection process - please inform us should accommodation be required at any point in the recruitment process (recruit@stjoes.ca).