Clinical Data Abstractor Specialist (H)

SSM HealthSt. Louis, MO
Hybrid

About The Position

The clinical abstraction specialist will apply their knowledge of healthcare and data management to analyze clinical data, identify trends and report them. They will abstract and maintain comprehensive data from the clinical records according to established clinical/regulatory requirements. Mitigate definitional issues, and chart documentation discrepancies to ensure timely completion and proper validation checks for a high level of interrater reliability.

Requirements

  • Bachelor’s degree required
  • 1 year healthcare clerical required
  • Strong computer and data entry skills (Microsoft Office)
  • Organized with ability to meet deadlines and productivity standards
  • Maintains strict confidentiality of all trauma data
  • Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
  • Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
  • Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
  • Frequent use of hearing and speech to share information through oral communication.
  • Ability to hear alarms, malfunctioning machinery, etc.
  • Frequent keyboard use/data entry.
  • Occasional bending, stooping, kneeling, squatting, twisting and gripping.
  • Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
  • Rare climbing.

Nice To Haves

  • 2 years preferred
  • Knowledge of medical terminology, anatomy & physiology preferred
  • Complete Trauma Registrar & Injury Scaling courses within 1 year of hire
  • Driven by logical and analytical thinking to solve problems.
  • Possess an eye for detail-oriented analysis and design
  • Adept at working independently or within team environment/Self Starter.
  • Ability to multi –task and appropriately prioritize responsibilities for high volume of workload

Responsibilities

  • Disseminates data from the medical record accurately reflecting governing body’s rules, algorithms and protocols.
  • Continuous learning and adaptability due to registry and regulatory changes
  • Supports collaboration with internal team members and external vendors to ensure inter-rater reliability as well as data accuracy and timely submission.
  • Contribute to specialized committee or work group meetings in support of process improvements to enhance patient outcomes.
  • Identify new processes of improvement, opportunities and trends.
  • Review and resolve any clinical data discrepancies or outliers on completed abstracts
  • Skillful with written and oral skills for communicating performance considerations and improvement opportunities to correct parties.
  • Report findings/opportunities/trends to management levels.
  • Utilize knowledge of medical terminology and anatomy to extract facts from within the record especially when chart documentation is of uncertain quality
  • Able to complete certifications (pass exams) if assigned to an abstraction that requires it.
  • Performs other duties as assigned.

Benefits

  • one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
  • instant access to their earned, unpaid base pay (fees may apply) before payday.
  • upfront tuition coverage through FlexPath Funded for eligible team members.
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