Medical Records Abstractor - Obstetrics-2

Position Summary

The Medical Records Abstractor is responsible for abstracting pertinent information from EPIC and other available medical records and entering them into the OB Quality Improvement Peer Review Database. Assists in the creation and dissemination of reports as part of Peer Review and quality improvement project in obstetrics.

Position: Medical Records Abstractor - Obstetrics-2

Department: Insurance Expense

Schedule: Part Time

Essential Responsibilities / Duties

• Ensure consistency of quality data for Peer Review and Quality Improvement needs.
• Abstract medical records within BMC's medical records and other available medical records from outside facilities according to specified guidelines and enters the data accurately and completely into the Obstetrics Quality Improvement Peer Review Database.
• Performs other duties as assigned or as needed.
• Collects and summarizes performance data and identifies opportunities for improvement through statistical analysis.
• Ensures data accuracy through education and training and timely and appropriate communication of data definitions to those who collect the data.
• Coordinates the data flow for assigned performance measurement study sites and data collection.
• Ensures that clinical interpretations are aligned with coding guidelines and educates staff regarding both indicator guidelines and coding guidelines.
• Follows established hospital infection control and safety procedures.
• Retrieves data from numerous clinical databases within the hospital.

Education

JOB REQUIREMENTS

• Bachelor's degree or equivalent required. Clinical degree (MD, PA, RN, etc.) is preferred.

Certificates, Licenses, Registrations Required

• Preferred, but not required, Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT).

Experience

• Minimum of two years of experience abstracting and/or reviewing medical records or comparable qualifications
• Experience working in quality improvement programs desirable.
• Experience with computers and Windows-based applications.

Knowledge And Skills

• Excellent interpersonal skills and the demonstrated ability to work in a team oriented environment.
• Experience accessing medical records and ability to abstract information pursuant to defined criteria.
• Ability to work self-directed and independently as well as with others.
• Must be well-organized
• Ability to understand and meet the informational needs
• Detail oriented with a commitment to producing analytic product that consistently meets the highest standards of accuracy.
• Willingness to adhere to strict confidentiality protocols.
• Ability to communicate effectively orally and in writing.

Req id: 30126