What are the responsibilities and job description for the Abstractor - Cardiac Service Line - Perdiem position at Guthrie?
Position Summary: Responsible to collect and record specific data elements from patient medical records based on established criteria and guidelines. (This data will be used in an aggregate database for performance improvement processes). Performs data entry for clinical data systems.
Education, License & Cert: High School graduate or GED
Experience: Minimum one‐year experience working with medical records or results reporting (i.e., one‐year unit clerk), Anatomy and Physiology or related course work, and Basic Medical Terminology course. Computer/typing/data entry skills desired. Prior exposure to cardiovascular terminology preferable. Or Equivalent of one‐year proven experience with medical terminology and procedures (i.e., auditing, coding, abstracting, work in a physician’s office and will complete the Basic Medical Terminology Course if selected for the position. Computer/typing/data entry skills desired.
Essential Functions:
1. Abstract clinical findings from designated medical records and/or electronic medical record systems for use in internal performance improvement as well as for defined regulatory requirements a. Utilizes established guidelines, data definitions, and criteria. b. Retrains to guideline revisions and updates as needed. c. Performs data entry according to specified format. d. Generates established reports as needed. e. Coordinates/clarifies data collection issues and questions by consulting with the data analyst. f. Coordinates issues relevant to data collection and quality of documentation. g. Establishes work schedule whereby requests are processed on a timely basis.
2. Performance Improvement/Education a. Attains accuracy standards within six months of employment and maintains thereafter. b. Demonstrates a productivity level that is consistent/supports personal and department goals. c. Participates in quality improvement activities and serves on Performance Improvement teams as appropriate. d. Completes annual departmental mandatory requirements i.e., Corporate Compliance Training. e. Provides feedback to department after attending internal/external in‐services.
3. Performs clerical functions necessary to support department operations a. Uses appropriate telephone etiquette. b. Utilizes email/IDX, EPIC, PowerPoint, Excel, etc. c. Maintains department operational manuals. d. Monitor and order supplies.
Other Duties: It is understood that this description is not intended to be all‐inclusive, and that other duties may be assigned as necessary in the performance of this position.
Education, License & Cert: High School graduate or GED
Experience: Minimum one‐year experience working with medical records or results reporting (i.e., one‐year unit clerk), Anatomy and Physiology or related course work, and Basic Medical Terminology course. Computer/typing/data entry skills desired. Prior exposure to cardiovascular terminology preferable. Or Equivalent of one‐year proven experience with medical terminology and procedures (i.e., auditing, coding, abstracting, work in a physician’s office and will complete the Basic Medical Terminology Course if selected for the position. Computer/typing/data entry skills desired.
Essential Functions:
1. Abstract clinical findings from designated medical records and/or electronic medical record systems for use in internal performance improvement as well as for defined regulatory requirements a. Utilizes established guidelines, data definitions, and criteria. b. Retrains to guideline revisions and updates as needed. c. Performs data entry according to specified format. d. Generates established reports as needed. e. Coordinates/clarifies data collection issues and questions by consulting with the data analyst. f. Coordinates issues relevant to data collection and quality of documentation. g. Establishes work schedule whereby requests are processed on a timely basis.
2. Performance Improvement/Education a. Attains accuracy standards within six months of employment and maintains thereafter. b. Demonstrates a productivity level that is consistent/supports personal and department goals. c. Participates in quality improvement activities and serves on Performance Improvement teams as appropriate. d. Completes annual departmental mandatory requirements i.e., Corporate Compliance Training. e. Provides feedback to department after attending internal/external in‐services.
3. Performs clerical functions necessary to support department operations a. Uses appropriate telephone etiquette. b. Utilizes email/IDX, EPIC, PowerPoint, Excel, etc. c. Maintains department operational manuals. d. Monitor and order supplies.
Other Duties: It is understood that this description is not intended to be all‐inclusive, and that other duties may be assigned as necessary in the performance of this position.