Clinical Data Abstractor

Hackensack Meridian HealthManahawkin, NJ

About The Position

The Clinical Data Abstractor position is responsible for abstracting demographics, medical and surgical data from patient charts. Enters data into a database accurately and timely. Must be able to interpret and analyze some of the data for input. Corrects discrepancies in all affected data systems to avoid non-compliance. Acts as a resource at obtaining undocumented data that is required for submission by collaborating with the surgical/clinical team. Responsible for other related performance improvement activities and quality studies as directed.

Requirements

  • High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
  • Courses in Medical Terminology, Certified Medical Assistant, Surgical Technician or Licensed Practical Nurse or applicable work experience.
  • Minimum of 3-5 years experience as clinical staff.
  • PC Literate, Google Workspace (Sheets, Docs, Gmail, etc.), Epic familiarity, ability to easily learn new systems.

Nice To Haves

  • Acute care experience

Responsibilities

  • Abstracts clinical data/information from medical records and aggregates the information.
  • Abstracts data based on established criteria.
  • Validates, researches and corrects all elements of surgical cases to ensure compliant, accurate and optimal data submission.
  • Attends related meetings as assigned.
  • Prepares data for assigned meetings and takes meeting minutes.
  • Prepares and communicates back to the manager when having difficulty obtaining required data.
  • Performs chart audits for any assigned performance improvement project and/or action plans.
  • Inserts, updates and maintains accurate data on computer systems and in archives.
  • Compiles, verifies accuracy and sorts information according to priorities to prepare source data for computer entry.
  • Reviews data for deficiencies or errors.
  • Corrects any incompatibilities if possible and checks output.
  • Generates reports, stores completed work in designated locations and performs backup operations.
  • Maintains files of source documents or other information relative to data entered.
  • Other duties and/or projects as assigned.
  • Adheres to HMH Organizational competencies and standards of behavior.

Benefits

  • health
  • dental
  • vision
  • paid leave
  • tuition reimbursement
  • retirement benefits
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