Job Description
Performs primary data abstraction duties for NSQIP-Adult and ensures high levels of abstraction accuracy for assigned accounts via validation activities. Demonstrates strong communication, documentation, organizing, and planning skills to ensure strong leadership of multiple accounts concurrently.
Ā Collects and abstracts data from patient medical records, especially those related to surgical procedures. This includes information on diagnoses, treatments, procedures, and outcomes.
Ā Ensures the accuracy and completeness of the abstracted data. This involves cross-referencing information from multiple sources within a patient's medical record.
Ā Adheres to specific clinical data abstraction guidelines and standards, such as those set by the American College of Surgeons.
Ā Enters the abstracted data into a database or registry, often using specialized software. This includes maintaining and updating the data as necessary.
Ā Participates in quality assurance processes to ensure data integrity. This involves regular audits of the data or the abstraction process.
Ā Remains informed about developments in patient care and data management to ensure ongoing competency in the role.
Ā Experience abstracting NSQIP-Adult measures within the last 2 years is required. Must have current SCR.
Ā Familiar with medical records, billing/documentation practices, Microsoft Office, and standard healthcare quality concepts
Ā Ability to work independently.
Ā Relies on experience and judgment to plan/accomplish goals.
Ā Maintains a strict level of confidentiality in all aspects of work.
Ā Demonstrates a high standard of accuracy and attention to detail.
Ā Excellent interpersonal and communication skills.
Ā Remote position.
Ā BSN, LPN, or RN preferred.
Ā CPHQ preferred.
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