Abstraction Partner

Intermountain Health • Dayton, OH

1d • Hybrid

About The Position

Professional clinical data abstractors/registrars/clinical reviewers support the on-going work of performance improvement through the enterprise by performing high-quality data abstraction, compilation, validation, for clinical registries. The abstractors/registrar/clinical reviewers partner with registry owners in the identification of opportunities and performance improvement activities. The registries may include federal/accreditation program, third-party gold standard registries, and internal regulatory. These registries are critical in support of CMS/TJC regulatory requirements, Clinical Excellence, Clinical Services and Programs for quality improvement and identification of improved outcomes. Different professional organizations, registries or Centers of Excellence designation utilize different names for staff who function as an abstractor, specialist, or registrar. This job description covers partnerships, dotted or otherwise direct lines of connection to clinical registries stakeholders as defined by these organizations. This job description is an Intermountain job description to meet these requirements independent of the registry specific title recommendations. When a registry requires specific reference to roles or relationships they are defined below: • American College of Surgeons (ACS), Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP). References to Clinical Reviewer are covered in this document by the term “Abstractor”. References to the MBSAQIP Coordinator, MBSAQIP Surgeon and office staff are covered by terms such as “Coordinator, Medical Staff, Surgeon and office staff, stakeholder, as well as hospital or enterprise positions such as Leader, Clinical Leader, Clinical Programs or Services, and hospital administrative leaders”. • American College of Surgeons (ACS), Trauma Registry (TQIP). References to Abstractor or Registrar are covered in this document by the term “Abstractor”. Trauma Program Manager/Coordinator, Trauma Surgeon, Performance Improvement Coordinators, Outreach and Injury Prevention Coordinator are covered in this document by terms such as “Coordinator, Medical Staff, Surgeon and office staff, stakeholder, as well as hospital or enterprise positions such as Leader, Clinical Leader, Clinical Programs or Services, and hospital administrative leaders”. The following states are currently paused for sourcing new candidates or for new relocation requests for current caregivers California, Connecticut, Hawaii, Illinois, New York, Pennsylvania, Rhode Island, Vermont, Washington. This position will require 1-2 in-person meetings per year.

Requirements

• Three years’ healthcare work experience in acute care, ambulatory services, coding such as clinical direct patient care work experience in a hospital or clinical ambulatory services, or ICD/CPT coding work. (A bachelor’s degree in healthcare-related field may substitute for a year of experience.)
• Knowledge of medical terminology, pharmacology, and anatomy
• Working knowledge and experience in use of electronic health records.
• General computer and internet skills, including word processing and spreadsheets.
• Excellent written and verbal communication skills
• As a hybrid position, requirements to go into hospital or facility as needed to support required meetings, site visits, and team meeting requirements
• Depending on the registry this role will be supporting, additional clinical experience may be required in the registry topics.

Nice To Haves

• Associate or bachelor’s degree.
• Experience in the abstraction of clinical data.
• Certification &/or meets minimum education requirements if applicable by registry.
• Basic or intermediate statistical knowledge.
• Presentation software experience.

Responsibilities

• Execute professionally and expertly the technical work of abstraction in accordance with the specifications of the registry. This includes abstraction and input of clinical element from the Electronic Health Record (EHR), surgeons/physicians’ offices and associated medical records with unrestricted access as required by specific registry.
• Duties include patient identification, validation, timely abstraction and submission of data consistent with registry-defined requirements, capture of index and follow-up components, and strict adherence to Intermountain and registry HIPAA/privacy standards.
• The clinical reviewer must also complete initial certification and maintain ongoing education/certification requirements specific to the registry, while supporting performance improvement activities.
• Assists in identification of clinical, financial, and risk issues and escalates them to the supervisor and/or clinical leaders as appropriate.
• Establishes and maintains relations with key registry stakeholders as a trusted partner in the performance improvement related to registry work.
• Supports registry owner meetings, site visits, and processes with expertise to clarify, inform, identify opportunities, outcomes review, and support performance improvement work. These partnerships, depending on the registry, may include a coordinator or program lead, members of the medical staff, affiliated office staff, clinical programs or services leaders, and hospital administrative leaders.
• Keep leader informed of applicable program volumes and follow-up requirements, to partner with immediate leader in evaluation to ensure adequate resources.
• Where accreditation standards or registries require, meet minimum annual requirements for attendance at selective meetings and actively participate in the site visit (for example, attend at least two of three committee meetings with mandatory attendance at the MBSAQIP annual comprehensive meeting or large committee meetings).
• This role does not work as a clinician by entering registry specific variables into the electronic health record for the purposes of improving registry outcomes unless this is required state or federal requirement.
• Performs standard work duties as assigned by leader and/or supporting performance improvement leaders or committee in the structured work.

Benefits

• generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
• 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree