About The Position

The Clinical Chart Abstractor – Pulmonary Rehabilitation reviews patient electronic medical records to determine medical eligibility or ineligibility for Aviary Health’s virtual pulmonary rehabilitation program. The role supports the enrollment team by reviewing medical histories, identifying qualifying pulmonary diagnoses, interpreting clinical documentation, and verifying referral requirements. The abstractor documents eligibility determinations, identifies missing information, and coordinates follow-up to support timely patient enrollment. This position provides daily chart review support and uses established eligibility criteria and decision trees to make timely, consistent determinations. It requires careful interpretation of clinical documentation, strong attention to detail, and the ability to recognize when a case needs clarification or escalation rather than making assumptions.

Requirements

  • 3–5 years of clinical experience in pulmonary care, respiratory therapy, exercise physiology, cardiac or pulmonary rehabilitation, or chronic disease management.
  • Experience reviewing electronic medical records and interpreting clinical documentation.
  • Familiarity with pulmonary conditions, particularly COPD, emphysema, and other chronic respiratory diseases.
  • Working knowledge of pulmonary function tests, spirometry, and relevant diagnostic terminology.
  • Ability to interpret ICD-10 codes and apply established clinical eligibility criteria.
  • At least 3 years of experience with EPIC or another electronic medical record system.
  • At least 2 years of experience with medical terminology and clinical chart review.
  • Proficient computer skills, including experience with Google Workspace, Zoom, and electronic medical record systems.
  • Strong written communication skills and ability to clearly and accurately summarize clinical findings and eligibility decisions.
  • Excellent organizational skills, attention to detail, and ability to manage multiple tasks independently.
  • Ability to recognize cases requiring clarification or escalation when documentation is incomplete.
  • Access to Citrix.
  • EPIC access, including RTE, as applicable to assigned responsibilities.
  • Access to Google Workspace, Zoom, and Microsoft Teams, including participation in GHS EPIC training when applicable.
  • Reliable internet connection and a quiet, private workspace suitable for confidential clinical work and virtual meetings.
  • Availability for required eligibility and enrollment team meetings.
  • Ability to maintain patient confidentiality and comply with applicable privacy and security requirements.

Nice To Haves

  • Experience with clinical eligibility review, referral coordination, or healthcare enrollment operations.

Responsibilities

  • Evaluate patient medical records to determine pulmonary rehabilitation eligibility or ineligibility.
  • Review pulmonary diagnoses, medical history, pulmonary function test results, and other clinical documentation against established criteria.
  • Identify qualifying conditions, including COPD, emphysema, interstitial lung disease, and other eligible respiratory conditions.
  • Review ICD-10 codes and supporting documentation against inclusion and exclusion criteria.
  • Identify existing pulmonary rehabilitation referral orders and coordinate creation or completion of referral documentation when needed.
  • Verify referral requirements, including ordering provider credentials, signatures, and cosignatures when applicable.
  • Identify missing, incomplete, or conflicting clinical documentation and coordinate follow-up with appropriate team members.
  • Communicate eligibility decisions, reasons for ineligibility, and outstanding documentation requirements to the enrollment team through designated platforms.
  • Maintain accurate, organized records of chart reviews and eligibility decisions in the EMR and other designated systems.
  • Escalate cases outside established guidelines or requiring additional clinical review to the appropriate clinician or program leadership.
  • Assist with special projects related to pulmonary rehabilitation enrollment, chart abstraction, and clinical operations.
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