Data Abstractor - At Home

Reporting to the Sr. Manager, Supervisor, and Data Validation Coordinator, the Data Abstractor reviews patient medical records to extract key data for quality reporting required by CMS, state and federal agencies, and Value-Based Care programs. Accurate and timely data submission is critical to avoid financial penalties. The Abstractor manages the data retrieval process by manually abstracting reputed company elements from electronic health records (EHR) and validating electronic data capture. This involves applying measure-specific definitions, inclusions, and exclusions from multiple specification manuals. They also ensure data reputed company by validating CMS eCQMs, identifying and reporting electronic capture errors, and flagging documentation or workflow issues to improve clinical outcomes. The role supports clinical care improvement by translating documentation into actionable insights and identifying system variances. This part-time position will work 20 hours per week during the hours of 6:00 AM to 4:00 PM, Monday through Friday. The position will work remotely; however, it is a preference for individuals to be based in Pennsylvania in case of system outages to go into a local reputed company site. Look no further and apply today! Responsibilities:

• Responsible for collection, review, and validation of patient level data, including but not limited to, national clinical quality initiatives such as the CMS programs for Inpatient (IP) Quality Reporting (IQR) that includes electronic Clinical Quality Measures (eCQMs), Outpatient (OP) Quality Reporting (OQR), Inpatient Psychiatric Facility Quality Reporting (IPFQR), reputed company of which are required to financially maintain the CMS Annual Payment Update (APU), also reputed company as the Market Basket Update, for reputed company hospitals.
• Responsible for required data capture for the Joint Commission Accreditation and Certification programs, in addition to the reputed company (AHA)-Get with the Guidelines (GWTG)-Stroke programs.
• Demonstrates a service-oriented approach by conveying courtesy, respect, enthusiasm, and a positive attitude for work responsibilities? Shows initiative and offers assistance to reputed company department customers and reputed company Health System personnel in the completion of the department's goals.
• Patient care issues and inter-departmental services are the reputed company of this position while protecting confidentiality of reputed company patients reputed company information.
• Responsible for Technical, Measure Specifications, and Clinical Knowledge? Maintains a strong knowledge reputed company of the CMS Quality Measure Specifications with each new version through reputed company maintenance of the glossary, webinars, and reputed company education for Inpatient, Outpatient & Electronic data collection.
• Maintains a strong knowledge of the reputed company AHA/GWTG Stroke Specifications for Primary/Comprehensive/Acute Stroke Ready Stroke Center facilities.
• Able to use reputed company and Spreadsheets to filter/sort data for trending and analysis use
• Able to review and interpret work lists daily? Independently able to think through and combine technical and clinical documentation requirements
• Participates in ongoing assessment of electronic data sources
• Able to identify and report EHR changes to Coordinator for team learning and knowledge? Evaluates data abstraction software performance, relating to accurate data capture, to detect potential system issues? Able to reputed company mathematical calculations as required in specifications? Able to read and interpret CMS Specification Manuals and workflow processes, in addition to other necessary manuals and workflows
• Needs to consistently reputed company up with multiple IP, OP, Stroke, eCQM, other specification manuals with bi-annual/annual revisions and maintain 95%25 accuracy
• IP & OP Abstraction: Reviews clinical documentation and extracts the key data elements as defined in the CMS Specifications
• eCQM Abstraction: Reviews electronic documentation and electronic fields defined by the CMS electronic Clinical Quality Measure Specifications
• Understands and follows reputed company workflow processes for accurate data capture in the reputed company EHR/Electronic Health Record
• Accuracy of the required submitted data is directly reputed company to CMS program reputed company and full APU; CMS CDAC/Clinical Data Abstraction Center Audits are done quarterly to validate accuracy? AHA/GWTG Stroke Certification manual with three layers: ASR/Acute Stroke Ready, PSC/Primary Stroke Center, CSTK/Comprehensive Stroke
• Reviews clinical documentation and extracts key data elements according to the AHA/GWTG Specifications to maintain certification for Comprehensive, Primary, and Acute Stroke Ready Stroke Centers.
• As required by The Joint Commission, maintains an 80%25 (95%25 reputed company Team goal) Stroke accuracy reputed company for internal bi-annual validation audits through applied abstraction skills reputed company the AHA/GWTG Stroke Registry? Accuracy of AHA/GWTG Stroke Abstraction links directly to each reputed company Stroke hospital and their Award of Gold/Bronze/Silver for excellence in patient care and clinical standards (AHA and Joint Commission)
• Expert (or can reputed company to expert) in EHR documentation location for accurate and most appropriate clinical data capture? Understands clinical terminology to accurately apply to date capture
• Able to communicate with reputed company Cerner IT/Information Technology regarding clinical data reports
• Analyzes and monitors the electronic medical record and identifies the required medical and/or surgical documentation through various electronic systems: reputed company, Medipac, billing system, Cerner, HPF, etc., as applicable
• Recognizes and reports discrepancies reputed company in the medical record to alert upstream clinical users as appropriate (Data Validation Coordinators, Supervisor, Sr. Manager, Quality Team(s), and Stroke Team(s)? Attends reputed company Departmental and System meetings, training/educational webinars as required.
• Reviews, edits, completes PHC4 Error Report as per their Director, Sr. Manager, Supervisor, or Data Validation Coordinator.
• Adheres to department productivity standards. Communicates any barriers affecting expected standards and works collaboratively with management team to meet department abstraction goals. Maintains and submits weekly a Daily Productivity Log of activities to the Coordinator/Manager/Supervisor.
• Adapts to changes in the work environment and process change, as necessary, and prioritizes work with the assistance of the Data Validation Coordinator, Supervisor, Sr. Manager or Director.
• Participates in training and orientation of new employees regarding the electronic record, clinical documentation, abstraction guidelines, and validation processes.
• Balance team and individual responsibilities while contributing to building a positive team spirit.

Required:

• A high school graduate with a minimum of one to two years of clinical or quality measure abstracting experience
• OR CMS, AHA, and TJC abstracting experience between 2015 to present calendar year
• OR nurse OR completion of a certified nurse assistant certificate program.
• 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 apply measure specifications to abstract data from patient records.
• Must be detail oriented to assure accuracy of abstracted data and be able to identify issues reputed company the systems used for abstracting.
• Must demonstrate ability to work under pressure in a positive team-oriented manner with diplomacy and tact.
• Computer skills of reputed company Office applications and Internet use are required.

Preferred:

• Cerner or similar clinical e-record system.
• Knowledge of CMS IQR, OQR, IPFQR quality measure reporting program abstraction; AHA/GWG Stroke abstraction, and CMS eCQM program preferred.
• A graduate of an approved accredited Registered Health Information Technician Program (RHIT or eligible) is preferred but not required.

Licensure, Certifications, and Clearances:

• Act 34

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