Abstractor I - Clinical Data

HonorHealthPhoenix, AZ
Hybrid

About The Position

The Clinical Data Abstractor I abstracts and/or audits clinical records, data or other information. The Clinical Data Abstractor I applies clinical training, knowledge and experience in the review of low to moderately complex clinical information from individual patient records and other sources to abstract data elements for clinical registries and to ensure compliance with standards of care, policies and procedures, regulations or accreditation requirements. In addition, the Clinical Data Abstractor I will identify and report variances from established guidelines, significant data trends, outlier values or unusual data for additional review by physicians, operational and/or quality leadership.

Requirements

  • Associates in healthcare related field or equivalent knowledge and skills obtained through combination of education, training, and experience.
  • 3 years experience working in healthcare industry.

Nice To Haves

  • Associates in Nursing or related field
  • 3 years experience working in an acute care hospital setting.

Responsibilities

  • Utilizes training, knowledge, and experience to abstract/audit low to moderately complex clinical data; Maintains accuracy in abstraction/audit by following published guidelines, abstraction specifications and/or other established standards; Enters data elements or audit findings into registry software and/or other data collection tools or software within established deadlines; Maintains established productivity standards
  • Maintains competency in measure and/or registry specifications, definitions, and protocols for work assigned by participating in teleconferences, webinars, conferences, and reviewing updated documentation.
  • Identifies potential areas of concern/interest; summarizes findings and draws conclusions; maintains ongoing variance reports and communicates findings to clinical data abstractor lead and/or director in a timely manner.
  • Established effective working relationships with key stakeholders, teams, and committees; attends meetings as appropriate to disseminate findings, provide education, and answer questions.
  • Facilitates and participates in quality assurance audits of abstracted/audited data to ensure a high level of inter-rater reliability among the clinical data abstractor team and achievement of acceptable validation results from external audits.
  • Performs other duties as assigned.
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