HIM Operations Clinical Data Abstractor I

Advocate Health and Hospitals Corporation•Milwaukee, WI

About The Position

The HIM Operations Clinical Data Abstractor I supports patient care, care management initiatives, revenue cycle, Health Maintenance, and regulatory requirements by working in electronic health records and other computer applications. The role receives, sorts, prepares, scans, analyzes, and abstracts laboratory reports and other clinical documentation into the EHR, ensuring information is accurate, complete, properly classified, and handled in accordance with HIM procedures and applicable regulations. The position enters and validates laboratory data, including test components, comments, performing laboratory details, collection dates and times, units, reference ranges, and abnormal or normal findings. It also performs quality assurance of scanned documentation, corrects errors, investigates questionable information, and escalates concerns to leadership. The abstractor communicates with patient care teams and external laboratories through phone, email, fax, Epic In-Basket, and other methods, including to provide education and STAT laboratory data entry services. This part-time, benefits-ineligible position is scheduled Monday through Friday with zero assigned hours and a minimum of 24 hours per week. The work takes place in a normal office environment and requires travel, which may involve exposure to weather and road conditions. Reliable internet service is required.

Requirements

High school diploma or equivalent.
Typically 1–2 years of experience gained in Health Information Management, a medical laboratory department, or another related health care setting.
Proficient computer and keyboarding skills, with the ability to learn software such as Epic, Extract LabDE, Solarity, OnBase, Microsoft 365, and legacy archives.
High attention to detail and accuracy while working 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.
Ability to collaborate respectfully and openly in a diverse team environment to learn, create, and solve problems.
Ability to learn from constructive feedback and take personal ownership for success.
Reliable internet service.
Ability to travel for the position.

Responsibilities

Navigate EHR and other computer applications to support patient care, care management, revenue cycle, Health Maintenance, and regulatory requirements.
Receive, sort, prepare, and scan internal and external clinical documentation into the EHR according to HIM procedures.
Analyze non-interfaced patient laboratory reports for correct patient identifiers and compliance with applicable regulations and standards, including Health Maintenance, CAP accreditation, and CLIA.
Use optical character recognition software and manual entry to enter appropriate data into the EHR.
Identify, create, or release appropriate laboratory tests using knowledge of medical terminology and laboratory nomenclature.
Select appropriate order templates and discretely enter and validate laboratory components, comments, footnotes, performing laboratory name and address, collection date and time, units of measure, reference ranges, abbreviations, and symbols.
Abstract and import laboratory results and other clinical documentation into the EHR, recording normal and abnormal findings and accurately flagging values.
Locate or create the appropriate patient, encounter, and/or order.
Paginate and classify documentation to the appropriate document type and description.
Protect, retain, and securely destroy electronic and physical protected health information in accordance with HIPAA, regulations, and policies.
Adapt to evolving laboratory tests, parameters, reference ranges, and regulations.
Validate data points and laboratory codes; investigate questionable information, troubleshoot issues, and escalate issues or patterns of concern to leadership in a timely manner.
Perform quality assurance on scanned documentation to confirm it is associated with the correct patient, encounter, document type, and orderable, and verify electronic information against paper documents for accuracy, clarity, and legibility.
Complete timely error corrections or notifications, including re-resulting or deleting documentation as needed.
Communicate with patient care teams and external performing laboratories by phone, email, fax, Epic In-Basket, and other methods to provide education, STAT laboratory data entry services, and other required information.
Operate necessary equipment and perform routine daily equipment maintenance.

Benefits

Comprehensive Total Rewards and well-being programs.
Competitive compensation within the listed pay range, based on qualifications, skills, relevant experience, and/or training.
Premium pay, such as shift or on-call pay, for eligible circumstances.
Incentive pay for select positions.
Opportunity for annual performance-based increases.
Paid Time Off programs.
Medical, dental, vision, life, and short- and long-term disability benefits.
Flexible Spending Accounts for eligible health care and dependent care expenses.
Family benefits, including adoption assistance and paid parental leave.
Defined contribution retirement plans with employer match and other financial wellness programs.
Educational Assistance Program.
Career development programs.