HIM Operations Clinical Data Abstractor I

Advocate Health•Milwaukee, WI

1d•$23 - $34•Remote

About The Position

This full-time position involves abstracting clinical data within the Enterprise Revenue Cycle department, specifically in HIM Ops Services and Support Lab Data Abstracting. The role requires working 32 hours per week, from 8:00 AM to 4:30 PM, including every other weekend, with the flexibility to work from home. The pay range for this position is $22.90 to $34.35 per hour. The Clinical Data Abstractor will navigate various electronic health record (EHR) and computer applications to support patient care, care management, revenue cycle, health maintenance, and regulatory requirements. Responsibilities include receiving, sorting, preparing, and scanning clinical documentation into the EHR, analyzing non-interfaced patient laboratory reports for compliance with regulations, and utilizing optical character recognition software for data entry. The role also involves identifying, creating, or releasing laboratory tests, accurately entering and validating laboratory results, and ensuring proper documentation and security of Protected Health Information (PHI) in accordance with HIPAA. The abstractor must adapt to evolving laboratory information, validate data points, troubleshoot issues, and escalate concerns. Quality assurance of scanned documentation and timely error correction are also key duties. Communication with patients and external laboratories via various methods is required to provide education and data entry services.

Requirements

High School Graduate or Equivalent
Proficient computer and keyboarding skills with the ability to learn new computer software systems such as Epic, Extract LabDE, Solarity, OnBase, Microsoft 365 and legacy archives.
High attention to detail and accuracy with frequent interruptions.
Ability to prioritize workload and work under pressure in a fast-paced environment with time constraints.
Ability to work independently and make decisions with minimal supervision while maintaining quality and productivity standards.
Works collaboratively in a diverse team environment with openness and respect to learn, create and problem solve.
Ability to learn when receiving constructive feedback by leadership or peers and taking personal ownership for success.
Typically requires 1- 2 years of experience gained through working in a Health Information Management, Medical Laboratory department or other related health care setting.

Nice To Haves

All responsibilities and requirements are subject to possible modification to reasonably accommodate individuals with disabilities.

Responsibilities

Navigates various electronic health record (EHR) and computer applications to perform job duties to support patient care, care management initiatives, revenue cycle, Health Maintenance and regulatory requirements.
Receives, sorts, prepares, and scans internal and external clinical documentation into the EHR according to Health Information Management (HIM) procedures.
Analyzes non-interfaced patient laboratory reports to ensure patient identifiers and compliance with all applicable regulations including Health Maintenance, College of American Pathologist (CAP) Accreditation, and Clinical Laboratory Improvement Amendments (CLIA).
Utilizes optical character recognition software to electronically and or manually enter appropriate data into the EHR.
Identifies, creates, or releases the appropriate laboratory tests by applying knowledge of medical terminology and laboratory nomenclature.
Selects the correct order templates, discretely enters, and validate individual components, comments, footnotes, performing laboratory name and address, collection date and time, units of measure, reference ranges, abbreviations, and symbols.
Discretely abstracts and imports laboratory results and other clinical documentation into the EHR.
Records normal and abnormal findings.
Ensures laboratory values are accurately entered and flagged to promptly alert patients and clinicians regarding normal and abnormal results.
Locates or creates the appropriate patient, encounter, and/or order.
Correctly paginates and classifies documentation to the appropriate document type and description.
Ensures appropriate security levels, protection, and destruction of electronic and physical PHI information according to Health Insurance Portability and Accountability Act (HIPAA).
Readily adapts to new and/or evolving laboratory tests, parameters, reference ranges, and regulations.
Validates all data points and laboratory codes and uses critical thinking skills to identify and investigate questionable information and troubleshoot issues.
Escalates issues and reports patterns of concern to leadership timely.
Performs quality assurance of scanned documentation to ensure clinical documentation is scanned to the correct patient, encounter, document type, and orderable in a timely manner according to Health Information Management policy.
Verifies the electronic information against the paper document to validate accuracy, clarity, and legibility.
Completes timely error correction or notification process; including re-resulting or deleting documentation as needed.
Ensure secure retention and destruction of electronic and physical PHI in accordance with applicable regulations and policies.
Communicates with patient care and external performing laboratories via phone, email, fax, Epic In-Basket, and other methods to provide education, STAT laboratory data entry services and other required information.

Benefits

Comprehensive suite of Total Rewards: benefits and well-being programs
Competitive compensation
Generous retirement offerings
Programs that invest in your career development
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program