MERCY HEALTH
POSITION DESCRIPTION
Coding Educator
Mercy Values
Compassion, Hospitality, Respect , Innovation, Stewardship, Teamwork
Position title:
Coding Educator
Employee name:
Entity/Group:
Mercy Hospital for Women,
Mercy Health
Date:
Business Unit/Department:
Health Information Services
Position reports to:
Manager, Health Information
Services
Position Purpose:
Ensure timely completion of monthly ICD-10-AM coding within set deadlines. Audit coded records to ensure
optimal coding accuracy and hospital funding are achieved. Report on quality coding audits and casemix
reviews. Provide further coding, casemix and documentation education to both HIMs and clinical staff, where
necessary.
Bachelor of Health Information Management or equivalent. Eligibility for full HIMAA Membership.
Qualifications:
Resource management:
Mercy Health
March 2012
Positions reporting to
this one:
Total staff management (FTE):
Annual Operating Expenditure:
Annual Capital Expenditure:
Coding Educator – Health Information Service
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Personal Competencies required
Demonstrated organizational skills and the ability to prioritize tasks
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Well developed interpersonal skills, confident and resourceful in
approach
Excellent verbal and written communication skills
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Ability to use initiative and be flexible
Customer/client focused with commitment to privacy and
confidentiality at all times
Ability to work as part of a team
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Key Result Areas
Demonstrates and upholds the
Values and Mission of Mercy Health.
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Job Competencies Required
Comprehensive knowledge of ICD-10-AM coding and casemix, in particular in
relation to Obstetrics, Gynaecology and Neonates
Ability to conduct coding reviews and audits and provide feedback and education
to other HIM/Coding staff to ensure coding consistency
Ability to liaise with all levels of clinical and non-clinical staff in relation to medical
record documentation, coding and casemix matters
Understanding of DOH mandatory reporting requirements
Understanding of quality improvement principles and accreditation processes
IT application experience, including Microsoft Office suite experience and
exposure to the Patient & Client Management System (PCMS) or ability to pick up
in-house systems quickly
Key Activities
Ensure the values of Mercy Health are
incorporated into daily work practices for all
staff.
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Completion of accurate and timely
coded data in accordance with the
Australian Coding Standards
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Mercy Health
Accurate morbidity coding of gynaecology,
urogynaecology, obstetric, oncology and
paediatric (neonate) cases utilizing the latest
edition of ICD-10-AM, 3M Codefinder &/or
ebooks
Ensure completion of month end coding within
set timelines
Ensure coding and casemix data is accurate
and that correct coding principles are applied
Conduct monthly coding reviews and audits,
utilizing PICQ
Review outlier reports and audit outliers on a
monthly basis
Apply VAED recommendations
Educate, advice, guide, support others on
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Standard Measures
Be compassionate and provide support to staff and
customers.
Consistently shows respect and values each person’s
dignity.
Seeks opportunities to be innovative for improvement.
Communicates openly and honestly as an effective team
member.
Conduct monthly coding audits to ensure optimal coding
accuracy and hospital funding are achieved
Support coding/HIM staff members, including new coding
staff, by reviewing and checking their coded data to ensure
accuracy and consistency and provide feedback and
further education where necessary
Monthly meetings with clinicians to query diagnosis and
improve documentation to accurately reflect coding and
funding outcomes
Follow recommendations made by the VAED audits and
ensure that recommendations are met and maintained
Report and submit patient cancer diagnosis details to the
Victorian Cancer Registry (VCR) and birth outcomes to the
Victorian Perinatal Data Collection (VPDC) and
Consultative Council on Obstetric & Paediatric Mortality
Coding Educator – Health Information Service
Key Result Areas
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Provide education and training on
medical record documentation,
coding and casemix matters to new
HIMs and clinical staff
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Key Activities
matters relating to quality of coded data and
issues effecting the coding and casemix
service
Liaise with VCR, VPDC & CCOPMM
Report patient cancer diagnosis details to
VCR, birth outcomes to VPDC and Paediatric
Mortality and Morbidity data to CCOPMM
Ensure medical record documentation reflects
coded data
Liaise with clinical staff and advice on coding,
casemix and documentation matters
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Ensure internal and external reporting
requirements are met
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Assist with Streamlining Paediatric
Information (SPI) within HIS
Assist with Quality Improvement and
EQuIP Activities
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Attend and contribute to department,
organizational and professional
meetings and update seminars.
Complete any necessary training
Mercy Health
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Contribute to meeting mandatory DHS data
reporting requirements within set timelines
Production of regular and ad hoc reports
Management of data systems
Provide back up assistance for any mandatory
DHS data reporting, reconciliation and
transmission
Information required for the calculation of
CMV and NIV hours is accurate and in the
correct format
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Assist Manager, HIS to prepare HIS for
accreditation and ensure standards of
accreditation are achieved for Mercy Health to
achieve successful hospital ACHS EQuIP
accreditation
Participate in quality activities
Document quality improvement initiatives by
completing a Quality Activity Summary
Keep up to date with quality accreditation
standards
Attend and contribute to HIM/Clinical Coder
and HIS meetings
Attend and contribute to Coding and Casemix
meetings
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Standard Measures
and Morbidity (CCOPMM)
Routine monitoring of work throughput and entering daily
statistics on the coding statistics spreadsheet on the
shared drive
Present and educate clinical staff on casemix, AR-DRGs
and medical record documentation matters
Distribute a hospital casemix , AR-DRGs and medical
record documentation booklet to all clinical staff
Create and provide downloadable coding, casemix and
medical documentation information from HIS intranet site
Keep abreast of HDSS bulletins and attend HDSS forums
in relation to reporting
Data reports meet organization requirements for planning
and resource management, including annual report
statistics
Measure the improvement in the quality of coded data on
neonates
Co-ordination of feedback to the SPI Project Team on
matters relating to SPI
Completion and benchmarking of Key Performance
Indicators (KPIs), Clinical Indicators and other quality
studies
Quality Activity Summaries aimed at improving service,
systems and procedures
Save any completed Quality Activity Summary on public
share drive
Complete minutes for Mercy Health Network HIM meetings
on a rotational basis
Attend hospital forums and department meetings as
required
Coding Educator – Health Information Service
Key Result Areas
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Adhere to HIS Policies and
Procedures and assist in policy and
procedure development, review and
update
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Assist with HIM student placements
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Assist the Manager, Health
Information Services in forward
planning and target setting
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Take reasonable care to protect the
health and safety of themselves,
fellow staff and others in the
workplace.
Employee’s Signature:
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Key Activities
Attend and contribute in Mercy Health
Network HIM meetings
Attend HIMAA and DHS seminar and update
sessions when relevant
Attend and contribute to any other meetings
as directed by Manager, HIS
100% compliance with patient privacy and
confidentiality
Assist Manager, HIS with formulating and
updating the department’s procedure manual
Maintain and further develop a comprehensive
and up to date procedure manual for HIS
Continuous HIS policy and procedure review
and development
Assist HIM students that are on placement
Regularly review an action plan to ensure that
HIS objectives are met within required
timeframes
Perform any other tasks and responsibilities
as directed by Manager, HIS
Complete incident reports
Elect and support health and safety
representatives
Contribute to risk assessments
Participate in training and meetings regarding
safety
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Standard Measures
Attendance at seminars, meetings and in-service, including
compulsory training
Keeps abreast of contemporary work-related issues
Compliance with relevant policies and procedures
including patient confidentiality and privacy
Participate in regular and timely reviews of existing
department policies
Develop and maintain appropriate standards of knowledge
for policy and procedures
Monitor the effects of changes on policy and procedures in
order to understand the impact it has on services
Participation in La Trobe University’s professional
education and training program for HIMs
Support Manager, HIS in achieving department objectives
Participation in individual performance appraisal
Reports hazards, near misses and injuries immediately
Uses personal protective equipment
Comply with risk management policies and procedures
and instruction
Attend all safety meetings and training sessions
Date:
Print Name:
Line Manager Signature:
Date:
Print Name:
Mercy Health
Coding Educator – Health Information Service