Clinical Data Abstractor

Position #: 24000BBY
Position: Clinical Data Abstractor
UH Facility: University Hospitals
Shift: Days
Status: Full-time
Work Days of Week: M-F

City: Cleveland

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JOB DESCRIPTION & QUALIFICATIONS

Description

A Brief Overview

Core Measure Abstraction specifically for the Sepsis Composite Bundle Measure required.

Abstract data from medical records or other tools using the appropriate guidelines to provide accurate and timely information for the department’s customers. Knowledgeable of and performs the daily operational duties: Orders, obtains, tracks and returns charts/tools to meet productivity and timeliness requirements of the data collection. Perform data entry as directed and needed. Network with department customers to share expertise and to team build using various communication techniques.

What You Will Do

Job Relationships/Contacts:
• Internal (Inside UHCMC)

• Physicians

• Nurses

• Secretaries

• Medical Records
Purpose:
• Share information to enhance efficiency and accuracy of the data capture process
External (Outside UHC)
• Physicians, Nurses, Medical Records at UHHS hospitals and facilities

• JCAHO

• Vendors
Purpose: Share information to enhance efficiency and accuracy of the data capture process
• Meet JCAHO requirements

• Enhancement of software or tools for data collection

Additional Responsibilities

Performs other duties as assigned.
Complies with all policies and standards.
For specific duties and responsibilities, refer to documentation provided by the department during orientation.
Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Qualifications

Education

High School Equivalent / GED (Required)

Work Experience

2+ years experience in medial record abstraction/medical records background (Required)

Knowledge, Skills, & Abilities

Computer skills include: word processing, spreadsheets, graphics and relational databases (Required proficiency)
Excellent understanding of medical terminology and ICD-9 coding rules. (Required proficiency)
Ability to communicate with many educational levels. (Required proficiency)
Routine office equipment: pc, fax, printer, copier, etc. (Required proficiency)

Physical Demands

Standing Occasionally
Walking Occasionally
Sitting Constantly
Lifting Rarely 20 lbs
Carrying Rarely 20 lbs
Pushing Rarely 20 lbs
Pulling Rarely 20 lbs
Climbing Rarely 20 lbs
Balancing Rarely
Stooping Rarely
Kneeling Rarely
Crouching Rarely
Crawling Rarely
Reaching Rarely
Handling Occasionally
Grasping Occasionally
Feeling Rarely
Talking Constantly
Hearing Constantly
Repetitive Motions Frequently
Eye/Hand/Foot Coordination Frequently

Travel Requirements

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LOCATION

Working at University Hospitals

Careers at University Hospitals offers opportunities to provide care locally in the Cleveland area with the power to impact healthcare nationwide. As a leader in our industry, our staff share a commitment to Be the Difference in the lives of our patients and our communities, from Northeast Ohio and beyond. Take a look at this video to discover how we’re building an organization for the future, today. Note: video content was obtained prior to the COVID-19 pandemic.

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Contact Us

To contact University Hospitals Human Resources department, or to request a reasonable accommodation, please call 216-767-8900 or send us an email at employment@uhhospitals.org

Equal Employment Opportunity Statement

It is the policy of University Hospitals to provide equal opportunity to all of our employees and applicants for employment. Decisions concerning employment, transfers and promotions or other conditions of employment are all made upon the basis of the best qualified candidate without regard to race, color, national origin, age, religion, veteran status, disability, gender, sexual orientation, gender identity, or marital status in accordance with Federal and Ohio law. A qualified individual with a disability will be considered for employment on the same basis as non- disabled applicants if he/she can perform the essential functions of the job sought, with or without a reasonable accommodation, and without imposing a direct threat to the health or safety of others or him/herself. EEO is the Law

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