HIM Abstractor

Family Health Centers of San Diego • San Diego, CA

4d • $21 - $23

About The Position

Under the direction of the HIM Manager and in conjunction with the CIO, the HIM Abstractor performs operational tasks supporting the agency and its Health Information Management (HIM) Department. The role supports record and chart analysis, data abstraction, and targeted clinical quality measurement efforts. The position reviews medical records to abstract clinical data for quality-measurement reporting and helps identify documentation gaps, process issues, and opportunities to improve HIM workflows.

Requirements

• Proficiency with databases and ability to perform 80% of work activities on a computer.
• Ability to work in a team environment and make sound decisions.
• Good written and verbal communication skills.
• Excellent interpersonal skills and ability to work effectively in a team environment.
• Strong time-management skills.
• Demonstrated command of medical terminology, medical-record documentation, and clinical processes.

Nice To Haves

• Experience with an Electronic Health Record (EHR) system is strongly recommended.
• Knowledge of SNOMED CT, ICD-9/10-CM, CPT, and HCPCS coding conventions is a plus.
• RHIA or RHIT certification preferred.
• At least 2 years of experience in Medical Records or HIM operations is highly desired.
• Bilingual English/Spanish is desirable.
• Experience managing, planning, organizing, and prioritizing is preferred.

Responsibilities

• Support HIM activities involving record and chart analysis, data abstraction, and targeted clinical quality measurement.
• Assist in designing and implementing HIM training modules covering document management, PHI correspondence, record and chart analysis, data abstraction, targeted QA/QC activities, and archive management.
• Communicate strategies for pursuing additional medical records to team members when needed.
• Communicate significant findings, including potential risk-management issues, to Clinical Quality or Utilization in a timely manner.
• Integrate data collected from electronic and paper sources.
• Maintain written documentation of gaps found during medical-record reviews for use in educating practice locations about improvement areas.
• Review assigned medical records and abstract clinical data for quality-measurement reporting, including laboratory results, hypertension verification and recent blood-pressure readings, and prenatal and postpartum care services.
• Work with the HIM management team to identify EHR and HIM workflow issues and recommend resolutions or modifications, particularly concerning the paper/electronic interface and daily workflow.
• Produce accurate and precise work.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed