Unit Summary
Information Support includes the following departments: Health Records and Transcription, Patient Registration, Decision Support Services, . Information Support facilitates the creation of a knowledge rich environment for making timely and informed tactical and strategic decisions and maximizing value of care and services provided. It provides accurate, timely, useful information for making decisions based on evidence to help deliver appropriate patient care. Also provides the expertise in analyzing and interpreting data and presenting and educating the corporation on this information.
Position Summary
The Coding Data Quality Assistant plays a critical role in ensuring the accuracy, reliability, and integrity of the organization’s coded and abstracted health information. This position supports high‑quality data capture by validating clinical documentation, identifying inconsistencies, and applying established coding, documentation, and regulatory standards. Through detailed audits, trend analysis, and collaboration with Clinical Coders and Analysts, the role strengthens compliance, reduces organizational risk, and supports continuous quality improvement.
By safeguarding the quality of datasets used for funding, performance measurement, case mix, and strategic reporting, the Coding Data Quality Assistant directly contributes to reliable decision‑making and the overall effectiveness of the organization’s information management practices.
Key Responsibilities:
Data Collection & Interpretation
- Collects and synthesizes information from diverse clinical and administrative sources to ensure all required data elements are captured accurately for downstream abstraction and reporting.
- Interprets complex clinical documentation and coded data (diagnoses, interventions, timelines, demographics) to validate accuracy and completeness.
- Requests clarification or corrections from Clinical Coders when discrepancies or documentation gaps are identified.
- Applies advanced knowledge of classification systems, terminology standards, and data structures to maintain consistency across records and support reliable analytics and regulatory submissions.
- Ensures data entry aligns with system logic, workflow dependencies, and organizational data architecture to prevent downstream errors.
Auditing & Quality Assurance
- Conducts structured and ad hoc audits of coded and abstracted records using both manual review and system‑generated audit tools.
- Evaluates data accuracy against organizational policies, national coding standards, and regulatory requirements, ensuring findings are evidence‑based and traceable.
- Produces detailed audit summaries highlighting root causes, risk implications, and required corrective actions.
- Collaborates with staff to ensure issues are understood and resolved.
- Tracks audit outcomes over time to identify systemic issues, emerging trends, and opportunities for targeted quality improvement.
Compliance & Data Integrity
- Ensures all coded and abstracted data adheres to internal policies, external regulations, and funding frameworks, including ICD‑10‑CA, CCI, ALR, CCRS, and NRS standards.
- Monitors compliance indicators and identifies potential risks related to coding accuracy, documentation sufficiency, or submission readiness.
- Works closely with Leads, Analysts, and Coding teams to investigate discrepancies, validate interpretations, and implement corrective actions prior to reporting deadlines.
- Supports organizational readiness for external audits by maintaining thorough documentation and ensuring data integrity across reporting cycles.
Schedule Work Hours
Days Monday - Friday
Qualifications
- Completion of an accredited Health Information Management program
- * Certified active member of Canadian Health Information Management Association (CHIMA)
- Experience in ICD-10/CCI coding system and CMG, RIW assignment methodology.
- Experience with coding and abstracting software preferably Med2020.
- Minimum of 3 years’ experience in coding and abstracting.
- Experience in an electronic health record environment as well as a paper-based system
- Experience in hospital information systems preferably EPIC, MosaiQ, OPIS
- Computer proficiency in the MS-Suite of Windows applications
- Excellent communication skills and good judgment
- Self-directed and the ability to work independently and under occasional interruptions
Hamilton Health Sciences fosters a culture of patient and staff safety, whereby all employees are guided by our Mission, Vision, Values, and Values Based Code of Conduct. Hamilton Health Sciences is a teaching hospital and all staff and physicians are expected to support students and other learners.
To be considered for this opportunity applicants must apply during the posting period. All internal and external applicants may ONLY apply via the Careers website. This job posting is for an existing vacancy.
Hamilton Health Sciences is an equal opportunity employer and we will accommodate any needs under the Canadian Charter of Rights and Freedom, Accessibility for Ontarians with Disabilities Act and the Ontario Human Rights Code. Hiring processes will be modified to remove barriers to accommodate those with disabilities, if requested. Should any applicant require accommodation through the application processes, please contact Human Resources at 905-521-2100, Ext. 46947 for assistance. If the applicant requires a specific accommodation because of a disability during an interview, the applicant will need to advise the hiring manager when scheduling the interview and the appropriate accommodations can be made.
This competition is open to all qualified applicants, however, qualified internal applicants will be considered first. Past performance will be considered as part of the selection process. If you are a previous employee of Hamilton Health Sciences, please note: the circumstances around an employee's exit will be considered prior to an offer of employment. Proficiency in both Official Languages, French and English, is considered an asset.