Job description
POSITION SUMMARY:
The Medical Records Abstractor is responsible for abstracting pertinent information from EPIC and other available medical records and entering them into the OB Quality Improvement Peer Review Database. Assists in the creation and dissemination of reports as part of Peer Review and quality improvement project in obstetrics.
Position: Medical Records Abstractor - Obstetrics-2
Department: Insurance Expense
Schedule: Part Time
ESSENTIAL RESPONSIBILITIES / DUTIES:
EDUCATION:
Bachelor's degree or equivalent required. Clinical degree (MD, PA, RN, etc.) is preferred.
CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:
Preferred, but not required, Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT).
EXPERIENCE:
KNOWLEDGE AND SKILLS:
Req id: 25259
The Medical Records Abstractor is responsible for abstracting pertinent information from EPIC and other available medical records and entering them into the OB Quality Improvement Peer Review Database. Assists in the creation and dissemination of reports as part of Peer Review and quality improvement project in obstetrics.
Position: Medical Records Abstractor - Obstetrics-2
Department: Insurance Expense
Schedule: Part Time
ESSENTIAL RESPONSIBILITIES / DUTIES:
- Abstract medical records within BMC's medical records and other available medical records from outside facilities according to specified guidelines and enters the data accurately and completely into the Obstetrics Quality Improvement Peer Review Database.
- Collects and summarizes performance data and identifies opportunities for improvement through statistical analysis.
- Ensure consistency of quality data for Peer Review and Quality Improvement needs.
- Coordinates the data flow for assigned performance measurement study sites and data collection.
- Ensures that clinical interpretations are aligned with coding guidelines and educates staff regarding both indicator guidelines and coding guidelines.
- Ensures data accuracy through education and training and timely and appropriate communication of data definitions to those who collect the data.
- Retrieves data from numerous clinical databases within the hospital.
- Follows established hospital infection control and safety procedures.
- Performs other duties as assigned or as needed.
EDUCATION:
Bachelor's degree or equivalent required. Clinical degree (MD, PA, RN, etc.) is preferred.
CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:
Preferred, but not required, Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT).
EXPERIENCE:
- Minimum of two years of experience abstracting and/or reviewing medical records or comparable qualifications
- Experience with computers and Windows-based applications.
- Experience working in quality improvement programs desirable.
KNOWLEDGE AND SKILLS:
- Experience accessing medical records and ability to abstract information pursuant to defined criteria.
- Must be well-organized
- Detail oriented with a commitment to producing analytic product that consistently meets the highest standards of accuracy.
- Ability to understand and meet the informational needs
- Ability to work self-directed and independently as well as with others.
- Ability to communicate effectively orally and in writing.
- Willingness to adhere to strict confidentiality protocols.
- Excellent interpersonal skills and the demonstrated ability to work in a team oriented environment.
Req id: 25259
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