Cancer Registrar, Certified

Legacy Health

2d•$29 - $42•Remote

About The Position

In the fight against cancer, it takes a team of experts from various fields to deliver the information and insights that make a powerful difference. When it comes to cancer data management, it’s about professionals who can review pathology reports, radiation oncology data imports and other sources to identify new cancer cases, as well as abstract, collect, and analyze treatment and follow-up information. If you possess these skills, and you want to be part of a healthcare community committed to making life better for others, we invite you to consider this opportunity. This is a remote position (OR/WA only). All new hires are required to come to a designated Legacy Health office location in Portland, Oregon prior to their start date for a new hire health assessment and to complete new hire paperwork.

Requirements

Experience in hospital or central Cancer Registry preferred. Experience within ACS approved Cancer Programs preferred. Experience with a cancer registry database preferred.
General computer skills, knowledge of diagnosis and coding systems, i.e. ICD-0, ICD-10 CM coding, Standards for Oncology Registry Entry Manual (STORE), American Joint Committee on Cancer (AJCC), Surveillance, Epidemiology, and End Results Program (SEER), Primary Site-Specific Data Items (SSDI), ACoS Commission on Cancer Program (COC) Standards. North American Association of Central Registries (NAACCR) standards, and National Accreditation Program for Breast Centers (NAPBC) standards. Organization and communication skills.
Certified Tumor Registrar (CTR) required

Responsibilities

Reviews pathology reports, radiation oncology data imports and imports from other multiple sources on a regular basis, to identify new cancer cases using ACoS and State guidelines.
Establishes and maintains pertinent information in suspense files to facilitate abstracting of cases.
Responsible for abstracting cases in accordance with the STORE manual, ICD-0 Cancer Manual, AJCC Cancer Staging Manual, SEER Solid Tumor Manual, SEER Summary Stage Manual, SEER Hematopoietic and Lymphoid Cancers Data Base, NAACCR, NAPBC, OSCAR and WSCR Reporting standards:
Abstracting requirements include collecting and verifying demographic information, comorbidities, cancer identification, detailed cancer histology, genetic characteristics, clarifying and interpreting ambiguous clinical details.
Use NCCN Cancer Care Guidelines to identify expected treatment pathways, analyze source documents to interpret and report first course treatment. Differentiate between 1st course treatment vs subsequent treatment and report accordingly.
As necessary obtain additional information from physicians’ offices/other facilities to assure completeness of diagnostic and treatment information.
Routinely obtains pertinent follow up information (such as vital status, current cancer status, date of last contact, subsequent treatment) and updates cancer data in compliance with ACoS COC standards. Also identifies and reports additional or updated information to the State Cancer registry and the NCDB for previously reported patients when additional information becomes available. “Percent Lost to Follow-Up” reports are generated to track compliance and result reported to the Network Cancer Committee.
Determine the appropriate clinical and pathologic stage of the cancer, including cancer grade, site specific data items and full extent of disease spread when physicians do not stage in accordance with strict AJCC staging guidelines.
Actively participates in data collection and data quality assurance audits and analysis of CQI indicators. Various mechanisms may include case-finding audits, random review of abstracts and computerized edit checks to assess validity and logic of coding. Report on Data quality assurance activities to appropriate entities and Network Cancer Committee. Participate in quality studies by standard setters and conduct follow back activities.
As needed, initiate and coordinate review by a physician of the registry abstract, physician staging, collaborative staging, follow-up information, and completeness of the pathology report.
Maintain up to date policies and procedures.
Provide Emergency back up support for Legacy Cancer Conferences, i.e. case presentation, conference notification, attendance documentation, etc. with various clinicians and departments within Legacy and outside Legacy.
Provide training and oversight of uncertified staff. Define staff roles and responsibilities. Establish staff productivity and quality metrics. Monitor staff for compliance with applicable policies and procedures.
In accordance with privacy standards and Legacy Policy, provide data to support strategic planning, education, research and marketing. Prepare reports to document research results and satisfy internal requests for data.
Monitor Cancer program adherence to evidence-based clinical practice guidelines. Use benchmarking techniques to identify areas for improvement. Conduct statistical analyses and compare Legacy Network Cancer Program to national benchmarks.
Collaborate with the various Cancer Program Committees to plan and schedule committee activities. Coordinate and participate in committee meetings and prepare data reports to present at committee meetings.
Generate data to identify the need for local screening, prevention or educational programs. Recommend and perform data analysis studies for the planning and evaluation of screening efficacy, treatment efficacy and patient outcomes.
Maintain knowledge of current trends, standards and developments in oncology, cancer registry and cancer program management. Monitor program compliance with state and national registry rules, regulations and standards. Report on deviations from compliance and participate in the development of corrective activities.
Prepare and submit data to central cancer registry, comply with applicable laws, regulations and policies regarding confidentiality, release of information, use of medical records and research. Gather data needed to prepare the Annual Report. Participate in the development of outcomes analysis included in the annual report for dissemination.
Maintain supporting documentation necessary for Legacy Cancer Program Accreditation. Participate in accreditation survey site visits.