Abstractor Job Description Samples

Results for the star of Abstractor

Clinical Data Abstractor (Lpn) Quality Management 1.0Dv (7467-1071)

UP Health System puts the patient experience at the heart of everything we do. This includes not only providing the highest quality of patient care, but offering exemplary customer service by creating an environment that puts our patients at ease. We accomplish this by embodying a culture that is centered on our patients while supporting positivity and the growth of our employees both professionally and personally. Our Clinical Data Abtractors work in an important role in order to evaluate and improve the care delivered in our institution. As an Abstractor you will assist in the collection and analysis of data that is offered by our patients so that we may better serve them and their families. This information will then be presented in reports to a variety of different committees. Additionally, there will be times when you will collect data that is required by regulatory agencies, you will be given freedom to help design the tools that are used to collect this data. You will be working closely with many different departments and you will have the opportunity to help them learn, grow, and enhance the patient experience. Our staff will rely on you to help evaluate the overall departmental and medical staff quality as part of our quality improvement process. Since you will be working with so many different people, a personality that is able to get along well with others will be important.

Required Skills * Our patients and the care they receive is our highest priority. An ideal candidate will take pride in putting their best foot forward every day to make sure that the UPHSM team has the patient on the forefront of everything we do.

  • Moderate physical effort may be required including lifting 25 pounds or more, prolonged standing and walking, and manual dexterity.

  • Having excellent human relations, oral, and written communications skills will be essential for this position.

  • Candidates should have outstanding organizational abilities.

  • Given the unpredictable nature of healthcare, there may be rare instances when you will be asked to contribute more or less time than you are traditionally scheduled for.

  • We believe in the power of a positive attitude, applicants who are excited to do their best for patients and are willing to learn and grow as part of a team will thrive with us! Minimum Education * Graduation from a recognized LPN, LVN program Minimum Experience * On year clinical experience Preferred Experience * Experience in Quality Management, Care Management, or Risk Management Required Certifications/Registration * Licensed in the State of Michigan as an LPN _ _Working With UsCulture * UPHSM is the largest specialty care hospital in the Upper Peninsula and is located in beautiful Marquette, MI just minutes from Lake Superior.

  • We believe that attitude is everything, we do our best to make sure that our employees are excited to walk through our doors.

  • We are proud to be located in a part of the country where employees can enjoy the solitude of nature or the engagement and culture of a vibrant community.

Our Campus * Employees enjoy a variety of benefits and perks including an extremely competitive and comprehensive insurance package as well as paid time off accrual beginning on the first day of employment. * UPHSM knows how important staying healthy is, so we are pleased to offer on and off-site gym discounts as well as incentives for leading a healthy lifestyle.

  • Our on-campus cafeteria, the 'North Country Cafe,' offers delicious daily specials in addition to vegetarian and gluten free options. Open for breakfast, lunch, and dinner!

Job:Please select a valid job field

Organization:Marquette General Hospital

Title:Clinical Data Abstractor (LPN) Quality Management 1.0DV (7467-1071)


Requisition ID:7467-1071

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Clinical Data Abstractor

Located in downtown Minneapolis, Hennepin County Medical Center (HCMC) is Minnesota's premier Level 1 Adult Trauma Center and Level 1 Pediatric Trauma Center. Committed to creating a culturally competent and inclusive work and care environment for patients, families and staff, HCMC offers primary care and retail clinics throughout the Hennepin County metro area. We partner with our community, our patients and their families to ensure access to outstanding care. Our mission is to improve health and wellness through patient and community education, teaching and research. SUMMARY HCMC has a current opening for a Clinical Data Abstractor in our Performance Measurement & Improvement department. This position is responsible for supporting reporting and improvement of Core Measures results, other mandated/publicly reported measures, and other organizational priorities. RESPONSIBILITIES * Maintains knowledge of mandated regulatory/publicly reported data requirements as specified by federal, state, payer and other agencies

  • Performs timely and accurate data retrieval from the medical record and data entry into internaland online databases

  • Utilizes software applications for data collection and analysis

  • Reviews and improves work processes in order to meet internal and external reporting deadlines

  • Compiles data from multiple sources, including benchmark/external sources to produce and distribute reports to support the quality improvement process as appropriate

  • Performs support functions and reports results to appropriate committees/teams/groups

  • Consistently demonstrates abstracting accuracy as defined by specification and monitored through internal and external data integrity processes

  • Promotes effective working relations and work successfully as part of an interdepartmental/unit team to facilitate the department/unit’s ability to meet its goals and objectives

  • Demonstrates the ability to utilize appropriate process improvement methodologies/tools in working with improvement teams

  • Prioritizes and manages multiple projects, requests and other duties as assigned in addition to maintaining the confidentiality of all correspondence QUALIFICATIONS Minimum Qualifications: * Associate’s degree in a health related field

  • Two to three years’ experience with data collection and reporting methodology and/or clinical chart review and abstraction

  • Data entry experience

  • Or an approved equivalent combination of education and experience Knowledge/Skills/Abilities: * Knowledge of clinical quality data and outcomes

  • Strong analytical problem solving and interpersonal skills

  • Knowledge of process improvement tools and techniques

  • Knowledge of medical terminology

  • Ability to use Microsoft Word, Excel, Power Point, and EPIC * Basic statistical knowledge PreferredQualifications: * Bachelor’s degree in Health Information Management or other clinical field License/Certifications: * CPHQ certification within 12 months You've made the right choice in considering Hennepin County Medical Center for your employment. HCMC offers a wealth of opportunities for individuals who want to make an impact in our patients' lives. We are dedicated to providing Equal Employment Opportunities to both current and prospective employees. We’re driven to connect talented individuals with life-changing career opportunities, enabling you to provide exceptional care without exception. Thank you for your consideration in submitting an application. Please Note: Offers of employment from Hennepin County Medical Center are conditional and contingent upon successful clearance of all background checks and pre-employment requirements.

Department: Performance Measurement & Improvement Primary Location: MN-Minneapolis-Downtown Campus Standard Hours/FTE Status: FTE = 1.00 (80 hours per pay period) Shift Detail: Day Job Level: Staff Employee Status: Regular Eligible for Benefits: Yes Union/Non Union: Non-Union Job Posting: Apr-19-2017

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Fee Abstractor II

Fee Abstractor II +

Job ID :64366 +

Job Category: Health Information Management/Coding +

Specialty Area: Health Information Management/Coding +

Primary Shift: Day +

Work Schedule: Day +

Penn Medicine Entity: Corporate Services +

Location: Philadelphia, PA +

Address: 1500 Market Street +

Education Required: Per Position Description +

Experience Required: Per Position Description +

Employment Type: Full-Time Regular Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Position Description : Fee Abstractor, Central Fee Abstraction Department, Penn Medicine, Full-time: The Medical Record Fee Abstractor reviews the in-patient clinical record documentation to determine the medical code selections for professional (physician) services provided to the patients of the health system.

Both CPT codes (evaluation and management, critical care, procedures and surgical services) and Diagnosis codes (ICD-10) are extrapolated in accordance with Federal, State and health system guidelines. The Fee Abstractor also audits code selections by external and internal coders and acts as liaison between Central Fee Abstraction Department and Physician Practices.

Minimum Requirements : Certified Procedural Coder – CPC (AAPC) required. Minimum of 2 years previous work experience coding for medical professional services required, preferably in the areas of in-patient and surgical services for multiple specialties with strong emphasis on critical care services including medical, surgical, cardio-thoracic and Neuro intensive care units.

Minimum of 2 years previous experience with code auditing and provider education on documentation improvement required. Associates or Bachelor’s Degree in Health Related field desired. Hospital nursing experience beneficial.

Additional Information : Excellent verbal and written communication skills; ability to interact with physicians and allied health professionals. Must demonstrate ability to work independently, able to plan, organize and prioritize work load with accountability and attention to detail.

Have a strong knowledge of medical terminology, HIPAA regulations, and payer regulations. Must understand hospital professional service environment and basic medical revenue cycle metrics. Experience with Epic software is preferred.

Position is full-time, based at 1500 Market Street, Philadelphia, PA, with schedule as determined by management of Central Fee Abstraction Department. We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy.

We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Penn Medicine http://www.pennmedicine.org/careers/ Live Your Life's Work EOE/AA, Minority/Female/Disabled/Veteran We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.

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Clinical Abstractor - Medical Decision Support - Per Diem

Based in Fresno, California, Community Medical Centers is the region's largest health care provider and private employer. We operate four hospitals – Community Regional Medical Center, Clovis Community Medical Center, Fresno Heart & Surgical Hospital and Community Behavioral Health Center – other health care facilities and a physician residency program in conjunction with the University of California, San Francisco.

Our primary service area is 15,000-square-miles, and we're home to the only combined, burn and Level 1 trauma center between Los Angeles and Sacramento. Our hospitals and other facilities provide a world of opportunity for professional growth and personal advancement. One of our top priorities is helping employees and their families stay healthy and financially secure.

We aim to rank among the nation's top hospitals in the delivering measurable quality care, investing in best practices and technology. Our on-going investment in facilities, expertise, research and technology provides individuals— regardless of their circumstances — access to top-level care at the right place and the right time. Additionally, we embrace our responsibility to the people who make us the largest private employer in the central San Joaquin Valley and the region's largest provider of medical services in making Community the employer of first choice.

If you are looking to make a difference in your profession and are seeking a successful career rather than just a job; then Community Medical Centers is where you belong! Collect and submit reliable data to the ACS NSQIP and/or STS, CCORP or any other clinical database. This is accomplished through high-quality clinical screening, data compilation, documentation and entry into the ACS NSQIP and/or STS, CCORP, or any other clinical database of all eligible surgeries for the medical center.

The SCNR also works closely with the members of the Department of Surgery to identify opportunities for clinical quality improvement and other special projects as may be identified. Graduate of an accredited school of nursing or Physicians Assistant program. Minimum three (3) years' experience in inpatient surgical nursing required.

Clinical chart review and abstraction experience required. PREFERRED: BSN, NP or PA strongly preferred. Database data entry and/or management experience preferred.

Statistical knowledge preferred. Quality improvement or patient safety knowledge and experience preferred.Inpatient surgical nursing or operating room experience preferred. LICENSES/CERTIFICATIONS MINIMUM REQUIRED:

Licensed in state as a registered nurse or Physicians Assistant Licensure. Requisition ID: 2016-4492 Facility (Tazworks integration): Community Regional Medical Center (CRMC) Updated Date: 3/15/2017

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RN Data Abstractor Nurse

RN Data Abstractor Nurse needed. This position is located in nearby Pocatello, ID. Registered Nurse to function as our Data Abstractor / Quality Utilization Management Nurse. Multiple Shifts and RN Specialties available. Apply to be considered for your best fit. 3 12 hour shifts weekly. Abstracts data from patient records for core measures and other clinical improvement projects. Organizes and facilitates data abstraction and reporting as required to meet the goals of the quality improvement program. Coaches, mentors, and provides training for Core Measures and quality initiatives. Assists with departmental quality improvement efforts and quality initiatives. Performs data aggregation via databases and spreadsheets, and analyzes trends for follow-up and reports.
Minimum Qualifications:
Clinical education in Nursing or related field required, preferably with at least 2 years clinical experience in Medical/Surgical, Intensive Care Unit, or Emergency Department. Experience in data abstraction or record review preferred. Must have a working knowledge of medical terminology. Current certification in quality assurance or utilization review preferred. Ability to utilize Microsoft office tools to compile figures, generate statistics, and prepare accurate reports and other documentation. Ability to formulate graphs and reports to analyze trends preferred. This is a high level position so potential candidate must meet all specified requirements to be eligible for consideration. NO Sponsorship or Visa transfers, No 3rd Party Vendor Referrals, and NO foreign Based Resumes will be accepted at this time. Potential Paid Relocation within the US for ideal candidate. Immediate need and Incredible Pay offered for exceptional candidates.
Apply now to be considered for this opportunity. Email or applying directly with your resume will result in the quickest response.
Julie A. Grey

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Cancer Registry Abstractor

The Cancer Registry Abstractor is responsible for collecting medical record data from a variety of sources for submission to the Wisconsin Cancer Reporting System and/or the National Cancer Database, as required for accreditation with the American College of Surgeons. The individual identifies reportable neoplasms, collects clinical data, codes and enters medical information into the Cancer Registry database, and performs lifetime follow-up to provide cancer incidence, treatment and outcome information for quality improvement activities, administrative planning and marketing, support programs and research activities.

The framework for the cancer registry role is defined by the current cancer program standards established by the Commission on Cancer and the requirements determined by the National Cancer Registrars Association. Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.


Marshfield Clinics



Location: Marshfield, WI

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Medical Records Abstractor

Description Purpose: Do you have a strong background with medical records and data entry? Do you enjoy working on a variety of projects while traveling to different locations? If so, an opportunity with UPMC CancerCenters as a Medical Records Abstractor may be the perfect fit for you. This role will allow you to conduct a thorough review of the outpatient medical record, maintained by hospital-based clinics and/or physician offices, for the purpose of abstracting scanning and indexing specified key clinical data elements into the electronic medical records system. This role does require 100% to outpatient facilities across the region. If this sounds like an exciting next step in your career, apply today! Responsibilities: + Extracts and enters defined data elements found in the patient physical chart into the electronic clinical systems.

  • Attends electronic clinical systems departmental meetings as required.

  • Coordinates missing chart report for abstracting purposes for follow up to obtain records that were initially unavailable. Interacts directly with physicians and office staff to track these missing records and resolve data abstracting/data entry issues.

  • Demonstrates a service-oriented approach to his/her position by conveying courtesy, respect, enthusiasm and a positive attitude in work situations, by showing initiative and offering assistance to other staff members and office personnel in the completion of the department's work, and by making patient care and/or departmental service the first priority.

  • Interacts and contacts other clinical resources, both internal and external as needed, to clarify medical record documentation as necessary.

  • Monitors and problem solves as necessary on issues such as invalid patient information in order to assure a complete and accurate abstract of the patient's paper chart.

  • Prepares daily abstracting and scanning productivity statistics and presents this information to the HIM Manager on a weekly basis. Maintains a productivity level as specified in predefined performance standards and established accuracy rate.

  • Preps, Scans, perform quality control and indexing of predefined documents from the patient record into the electronic clinical systems.

  • Responsible for performing a thorough review of the documentation within the outpatient medical record to enable accurate ICD-10-CM and CPT-4 code assignment in the electronic clinical system application by understanding disease processes and clinical interpretation of medications administered during an outpatient visit.

  • Reviews completed abstracts on a daily basis for overall accuracy and reports any problems to the HIM Manager. Qualifications + High school with a minimum of one to two years of prior medical office, abstracting and/or coding experience in a hospital or ambulatory care setting required or graduate of an approved, accredited health information management program, nursing or other clinical program.

  • Knowledge of medical record format and content of patient records.

  • Ability to review records, read physician documentation and verify patient identification.

  • Competent knowledge and understanding of anatomy/physiology, medical terminology, medical abbreviations and prescription drugs.

  • Strong computer skills.

  • Good verbal and written communication skills.

  • Detail oriented and possess a high degree of concentration to assure accurate data abstraction.

  • Able to perform job responsibilities and make decisions without daily direct supervision.

  • Ability to research different diagnoses, surgeries, and prescription drugs commonly found in patient charts.

  • Ability to perform routine maintenance and adjust settings on the scanning equipment.

  • Knowledge of terminal digit numbering and filing systems.

  • Ability to identify medical record forms, standard and nonstandard, and their appropriateness for inclusion in the electronic clinical systems.

  • Must be able to travel within a two to three hour drive of Pittsburgh and work flexible hours (i.e. some evening and weekend hours may be necessary periodically) + Maintain strict confidentiality of patient information and adhere to HIPAA regulations

  • Ability to perform timely, high volume, tedious data review and entry into the electronic clinical system application.

  • Must be able to interact tactfully and professionally with clinic/physician/project staff and management. Licensure, Certifications, and Clearances: RHIA, RHIT, RN or LPN preferred.

  • Act 34 Criminal Clearance UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities REQNUMBER: 580475

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RN Data Abstractor FT Days

Aids coordination of ongoing performance improvement activities through clinical data retrieval and analysis. Serves as a resource for support departments to assist with identification and resolution of quality and/or patient safety issues as well as regulatory compliance + Texas RN Licensure or compact state.

  • From an accredited school of nursing + Minimum 5 year’s RN clinical experience + Experience in Windows, Powerpoint, and Excel programs. Working knowledge of a wide variety of clinical topics, ability to review patient care records; communicate clearly and concisely with physicians and professional staff, able to prioritize tasks, and the ability to analyze statistical information. Demonstrates integrity and maintains confidentiality.


Organization:The Hospitals of Providence Sierra Campus


Location:TX-El Paso

Requisition ID:1705014441

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Hedis Abstractor

HEDIS Abstractor Location: New Albany, OH Date Posted:

Thursday, April 13, 2017 Job Type: Contract Reference #: 337821 Specialty: Randstad Healthcare Description Come work for one of the leading diversified health care benefits companies providing medical, pharmacy, dental, behavioral health, group life and disability plans, and more.

The company includes more than 20 million medical members and more than 1 million healthcare professionals. With locations across the US, there is sure to be an assignment in a city near you.

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Clinical Abstractor

Job Title:
Clinical Abstractor
Job Summary:
To assist with daily operations of the Quality & Risk Management processes as it relates to the Hospital Department, including evaluating quality and risk management issues and planning appropriate intervention under the Director's guidance.
Essential Job Duties:

  • Actively participates in concurrent case review to assure that evidence-based best practices are implemented timely for core measures patients.
  • Responsible for the retrospective data abstracting of all of selected outcome indicators that are required for completion of Core Measure submission.
  • Assists with the medical staff Peer Review process by reviewing and preparing case summaries and time lines.
  • Assist the Director in providing risk management support to patients and investigating issues and conducting root cause analyses.
  • Manage, plan, organize, coordinate and improve functions associated with accreditation and regulatory compliance
  • Chair inpatient and emergency department performance improvement committees and serve as a member on related hospital committees.

Behavioral Standards:

  • Exhibits customer and service oriented behaviors in every day work interactions.
  • Demonstrates a courteous and respectful attitude to internal workforce and external customers.


  • Provides accurate and timely written and verbal communication of information in a manner that is understood by all.
  • Able to listen, understand, problem-solve, and carry-out duties to ensure the optimal outcome.
  • Able to use IT systems in an accurate and proficient manner.


  • Contributes toward effective, positive working relationships with internal and external colleagues.
  • Demonstrates cooperation, flexibility, reliability, and dependability in all daily work activities and a willingness to collaborate with others for the good of the customer and the organization.


  • Completion of an accredited school of nursing program (LVN or RN), preferred
  • Prefer at least 5 to 7 years of current experience in an acute care setting


  • Registered Nurse or Licensed Vocational Nurse, preferred
  • Healthcare accreditation or quality certification, preferred

ADA/Physical Demands:

  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Such accommodations must be requested by the employee/applicant in order to be considered.
  • Required to stand; walk; sit; use hands to fingers, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl; talk and hear; and may taste and smell. The employee is regularly required to lift, push and/or pull weights in excess of 10 pounds, with assistance. Visual abilities, auditory abilities, must be intact to perform duties.

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