# of needs: 1 Full Time Contractor
Fully Remote - except NY, CO, and CA
Flexible hours as long as they are available for training during normal business hours.
JOB TITLE: Data Abstractor I trauma, VON and/or various cardiovascular services.
SUPERVISOR: Manager, Clinical Data Abstraction
SUPERVISES: N/A
DUTIES INCLUDE BUT ARE NOT LIMITED TO:
Completes abstraction process for assigned facility(ies), including abstraction of cases into the
required system (e.g., COMET, TheraDoc, Digital Innovations, NHSN, etc.).
Responsible for reviewing medical records to abstract information according to the standards of
various regulatory and accreditation agencies (e.g., CMS, TJC, NHSN, etc.).
Performs timely abstraction to ensure compliance with standards.
Completes edit checks and makes appropriate changes on a timely basis.
Follow standards and CSG/Parallon nstructions to abstract all reportable cases.
Assist with case follow-up as requested.
Attend educational activities as approved by Manager and/or Director.
Maintain clinical knowledge of various abstracted measures.
Communicate in a timely manner with manager to achieve measure compliance.
Submit data timely through the appropriate reporting system.
Resolve errors resulting in the rejection of records from the data entry system.
Participates in required continuing education programs and annual reorientation.
Practice and adhere to the Code of Conduct philosophy and Mission and Value Statement
Other duties as assigned
KNOWLEDGE, SKILLS & ABILITIES
Familiar with medical record documentation
Basic medical terminology and physiology
Able to navigate through the medical record and locate specific documentation
Understanding of patient discharge disposition and where to validate in the medical record
Ability to extract data from medical record content for abstraction
Proficiency in computer skills to include Microsoft Office applications
Possess basic keyboard skills
Knowledge of medical terminology, quality measures and coding logic.
EDUCATION
REQUIRED: High school degree (or equivalent) required.
PREFERRED: Undergraduate (Associates or Bachelor) degree or successful completion of a certified
coding program
EXPERIENCE
1 year in Health Information Management; Coding or Health Registry abstraction experience preferred
PHYSICAL DEMANDS/WORKING CONDITIONS: - Requires prolonged sitting, some bending, stooping and
stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard,
telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to
record, prepare and communicate appropriate reports. Requires lifting papers or boxes up to 50 pounds
occasionally. Work is performed in an office environment. Work may be stressful at times. Contact may
involve dealing with angry or upset people. Staff must remain flexible and available to provide staffing
assistance for any/all disaster or emergency situations.
OSHA CATEGORY: The normal work routine involves no exposure to blood, body fluids, or tissues
(although situations can be imagined or hypothesized under which anyone, anywhere, might encounter
potential exposure to body fluids). Persons who perform these duties are not called upon as part of their
employment to perform or assist in emergency care or first aid, or to be potentially exposed in some
other way.
JOB TITLE: Data Abstractor I
Reqquirements:
- 2 years experience as a Trauma Registrar/Abstractor
- ICD 10 data abstractor system experience
- Trauma Registry Course
- AIS 15 Course
- 2 years of experience with Level 1 or 2 Trauma Centers (Certified in CSTR or CAISS strong plus)
- Certified in CSTR or CAISS (strong plus)
- EMR/Registries in DI or CDM (trauma)
- Meditech Expanse or Epic or Cerner EMR experience
GENERAL SUMMARY OF DUTIES: This position is responsible for abstraction of data for core measure,
SUPERVISOR: Manager, Clinical Data Abstraction
SUPERVISES: N/A
DUTIES INCLUDE BUT ARE NOT LIMITED TO:
Completes abstraction process for assigned facility(ies), including abstraction of cases into the
required system (e.g., COMET, TheraDoc, Digital Innovations, NHSN, etc.).
Responsible for reviewing medical records to abstract information according to the standards of
various regulatory and accreditation agencies (e.g., CMS, TJC, NHSN, etc.).
Performs timely abstraction to ensure compliance with standards.
Completes edit checks and makes appropriate changes on a timely basis.
Follow standards and CSG/Parallon nstructions to abstract all reportable cases.
Assist with case follow-up as requested.
Attend educational activities as approved by Manager and/or Director.
Maintain clinical knowledge of various abstracted measures.
Communicate in a timely manner with manager to achieve measure compliance.
Submit data timely through the appropriate reporting system.
Resolve errors resulting in the rejection of records from the data entry system.
Participates in required continuing education programs and annual reorientation.
Practice and adhere to the Code of Conduct philosophy and Mission and Value Statement
Other duties as assigned
KNOWLEDGE, SKILLS & ABILITIES
Familiar with medical record documentation
Basic medical terminology and physiology
Able to navigate through the medical record and locate specific documentation
Understanding of patient discharge disposition and where to validate in the medical record
Ability to extract data from medical record content for abstraction
Proficiency in computer skills to include Microsoft Office applications
Possess basic keyboard skills
Knowledge of medical terminology, quality measures and coding logic.
EDUCATION
REQUIRED: High school degree (or equivalent) required.
PREFERRED: Undergraduate (Associates or Bachelor) degree or successful completion of a certified
coding program
EXPERIENCE
1 year in Health Information Management; Coding or Health Registry abstraction experience preferred
CERTIFICATE/LICENSE:
PREFERRED: RHIA, RHIT, CSS, LVN or RNPHYSICAL DEMANDS/WORKING CONDITIONS: - Requires prolonged sitting, some bending, stooping and
stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard,
telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to
record, prepare and communicate appropriate reports. Requires lifting papers or boxes up to 50 pounds
occasionally. Work is performed in an office environment. Work may be stressful at times. Contact may
involve dealing with angry or upset people. Staff must remain flexible and available to provide staffing
assistance for any/all disaster or emergency situations.
OSHA CATEGORY: The normal work routine involves no exposure to blood, body fluids, or tissues
(although situations can be imagined or hypothesized under which anyone, anywhere, might encounter
potential exposure to body fluids). Persons who perform these duties are not called upon as part of their
employment to perform or assist in emergency care or first aid, or to be potentially exposed in some
other way.
Nesco Resource offers a comprehensive benefits package for our associates, which includes a MEC (Minimum Essential Coverage) plan that encompasses Medical, Vision, Dental, 401K, and EAP (Employee Assistance Program) services.
Nesco Resource provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.