Clinical Data Abstractor

Hackensack Meridian Health • Hackensack, NJ

430d

About The Position

The Clinical Data Abstractor at Hackensack Meridian Health plays a crucial role in enhancing patient safety and quality improvement by conducting detailed medical record reviews and abstracting clinical data for quality measures reporting and departmental registries. This position involves collaboration with departmental teams to ensure accurate reporting and compliance with defined metrics, ultimately contributing to improved patient outcomes. The role may initially require some in-office work, with the potential for remote work in the future.

Requirements

• Associates degree in a healthcare related field.
• Minimum 2 years experience performing medical record reviews and data abstractions for CMS, Joint Commission quality measures, and/or clinical registries.
• Comprehensive knowledge of anatomy, physiology, and medical terminology.
• Experience or knowledge of ICD-10 coding.
• Proficiency in Google suite applications.
• Excellent interpersonal and communication skills with demonstrated ability to work well with all levels of staff.
• Strong skills in analytical methodologies, understanding of databases, and/or spreadsheet, technical writing, quantitative analysis and/or use of statistical principles.
• Strong critical thinking skills with ability to handle changing work environment and prioritize activities based on department needs.
• Detail-oriented, committed to high quality data abstraction, meets quality and productivity standards.
• Able to maintain an accuracy score that meets department requirements.
• Ability and willingness to be cross-trained and become proficient in multiple clinical domains that require clinical abstraction services.
• Excellent written and verbal communication skills.

Nice To Haves

• LPN/RN or Bachelor's degree.
• Prior experience in abstraction with core measures and/or registries (i.e. MBSQIP, NTDB/TQIP, ACS NSQIP).
• Experience working with EPIC, highly preferred.

Responsibilities

• Performs medical record review and abstracts a large volume of clinical case records to support quality improvement and regulatory reporting requirements.
• Manages the overall record retrieval process for collecting numerous complex data elements from individual patient records according to measure specifications and project requirements.
• Completes all data input, error report analysis and correction, resolution of errors related to data entry, and submission of data.
• Meets all deadlines and maintains meticulous records, providing appropriate correspondence.
• Ensures the integrity and accuracy of information collected and entered into the data collection system and is accountable for their work.
• Responsible for reporting data and variances to departments and/or committees within the hospital during monthly meetings.
• Identifies opportunities for performance improvement based on reliable data trending and makes recommendations based on recognition and analysis of gaps in documentation.
• Assesses potential problems affecting the data collection process and coordinates follow-up of problem resolution with the team and/or manager.
• Learns and understands the varied databases and project related terminology, participating in educational sessions and/or webinars.
• Maintains clinical quality measurement knowledge through self-development and keeps current on all specification changes relevant to assigned project(s).
• Communicates any measure requirement changes to appropriate staff and serves as an expert and resource to professional staff, providing education to physician leaders, nursing, and other team members as needed.

Benefits

• Competitive benefits package
• Supportive work culture
• Opportunities for professional development

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Hospitals
• Education Level: Associate degree
• Number of Employees: 1,001-5,000 employees