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Data Abstractor (Remote)

  • Job ID: 430991912
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours: Daylight Hours
  • Shift: Day Job
  • Facility: Corporate Quality
  • Department: Center Quality Imp-Innov
  • Location: 4601 Baum Boulevard, Pittsburgh PA 15213
  • Union Position: No
  • Salary Range: $14.38 to $25.78 / hour

Description

We are searching for a Data Abstractor to join our UPMC Corporate Quality team!

The Data Abstractor primarily works daylight hours, Monday through Friday.  Upon completion of onsite training to start the role, the Data Abstractor is a fully remote position.

The Data Abstractor will conduct a comprehensive and systematic review of patient medical records. They will review clinical documentation to extract key elements from the medical record as required by CMS/Centers for Medicare & Medicaid Services and other state and Federal agencies, focusing on quality outcomes reporting and CMS Value Based Purchasing. The Data Abstractor will communicate high priority variances to the Data Validation Coordinator, Supervisor and/or Manager for timely resolution within the health system.

The ideal candidate has familiarity with medical terminology and a working knowledge of medical records.  If this sounds like a fit for you, apply online today!


Responsibilities:

  • Reviews clinical documentation and extracts the key data elements according to rules and regulations as defined in the CMS/Centers for Medicare and Medicaid Specifications Manual . 100% accuracy of this CMS data is critical since the information is directly related to reimbursement for VBP/Value Based Purchasing and full APU reimbursement in regard to quarterly CDAC Audits as applicable.
  • Maintains a strong knowledge base of the CMS/Core Measure Specifications with each year's new version through continuous maintenance of the glossary, webinars, and continuous education for both Inpatient & Outpatient data collection.  Maintains a strong knowledge of the current AHA/GWTG's Stroke Specifications for Primary Stroke Center facilities.
  • Participate in training and orientation of new employees in regard to the electronic record, clinical documentation, abstraction guidelines, and validation processes.
  • Analyzes and monitors the electronic medical record and identifies the required medical and/or surgical documentation through various electronic systems: MARS, Medipac, Cerner, HPF, etc., where/if applicable. Recognizes and reports discrepancies found in the medical record to alert upstream and downstream users as appropriate. (i.e.: Registration, coding, information systems)
  • Participates in ongoing assessment of the electronic data sources. Evaluate data abstraction software performance to detect potential system issues.
  • Adhere to department productivity standards. Communicate any barriers affecting expected standards and work collaboratively with supervisory team to meet department abstraction goals. Maintains and submits weekly a Daily Productivity Log of activities to the Coordinator/Manager.
  • Demonstrates a service-oriented approach to the position by conveying courtesy, respect, enthusiasm and positive attitude for work responsibilities. Show initiative and offer assistance to all department customers and UPMC Health System personnel in the completion of the department's goals. Patient care issues and inter-departmental service are the first priority as a staff member while protecting confidentiality of all patient related information.
  • Reviews clinical documentation and extracts key data elements according to the AHA/GWTG's Specifications Rules and Regulations to maintain certification for Primary Stroke Centers. As required by The Joint Commission, maintains an 80% Stroke accuracy rate for internal quarterly validation audits through applied abstraction skills within the AHA/GWTG Stroke Registry.

 

Qualifications

  • 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 is required.
  • A strong knowledge in anatomy, physiology, pharmacology and medical terminology is required.
  • Good written and oral communication and organizational skills is required.
  • 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 are required.
  • Cerner or any similar clinical E-record systemKnowledge of CMS AMI/PN/HF/SCIP/VTE/Stroke/ED/IMM/OPPS Core Measure abstraction preferred.
  •  A graduate of an approved accredited Registered Health Information Technician Program (RHIT or eligible) is preferred.


Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

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   Current UPMC employees must apply in HR Direct