Data Abstractor

University of Pittsburgh Medical Center-posted about 1 year ago
Full-time
Erie, PA
Hospitals
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The Data Abstractor position at UPMC in Erie, PA, is a full-time role focused on ensuring the accuracy and integrity of medical data to enhance patient care. The role involves collaborating with a supportive team to contribute to quality improvement initiatives and healthcare compliance, utilizing advanced electronic systems. The position requires attention to detail, problem-solving skills, and a commitment to improving healthcare outcomes in a dynamic environment.

  • Demonstrates a service-oriented approach by conveying courtesy, respect, enthusiasm, and a positive attitude toward work responsibilities, ensuring high-quality service to all department customers and UPMC Health System personnel while maintaining confidentiality of patient information.
  • Analyzes and monitors electronic medical records, identifying required medical and surgical documentation through various electronic systems (e.g., MARS, Medipac, Cerner, HPF) and reporting discrepancies to alert upstream and downstream users.
  • Maintains and submits a weekly Daily Productivity Log of activities to the Coordinator or Manager, ensuring accurate tracking of data abstraction tasks.
  • Adapts to changes in the work environment and processes, prioritizing tasks with the assistance of the Data Validation Coordinator, Supervisor, Manager, or Director to ensure efficiency and productivity.
  • Reviews and edits/completes the PHC4 Error Report as directed by the Director, Manager, or Data Validation Coordinator, ensuring accuracy in reporting.
  • Maintains up-to-date knowledge of CMS/Core Measure Specifications, AHA/GWTG's Stroke Specifications, and applicable regulations through continuous education, webinars, and glossary updates to ensure accurate data collection.
  • Adheres to department productivity standards, communicating barriers affecting expected standards and collaborating with the supervisory team to meet department abstraction goals.
  • Attends UPMC departmental and system meetings, training, and educational webinars to stay informed on relevant updates and ensure continued professional development.
  • Reviews clinical documentation to extract key data elements in accordance with CMS/Centers for Medicare and Medicaid Specifications Manual, ensuring 100% accuracy critical for VBP/Value Based Purchasing reimbursement.
  • Participates in the ongoing assessment of electronic data sources, evaluating data abstraction software performance to detect potential system issues and collaborating on improvements.
  • A high school graduate with a minimum of 1-2 years of clinical or core measure abstracting or completion of a certified nurse assistant certificate program.
  • A strong knowledge in anatomy, physiology, pharmacology and medical terminology.
  • Good written and oral communication and organizational skills.
  • Must possess high degree of concentration to accurately abstract data from patient records.
  • Must be detail oriented to assure accuracy of abstracted data.
  • Must demonstrate ability to work under pressure in a positive team-oriented manner with diplomacy and tact.
  • Computer skills of Microsoft Office applications and Internet use.
  • Cerner or any similar clinical E-record system
  • Knowledge of CMS AMI/PN/HF/SCIP/VTE/Stroke/ED/IMM/OPPS Core Measure abstraction
  • A graduate of an approved accredited Registered Health Information Technician Program (RHIT or eligible)
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