RN QUALITY ABSTRACTOR

Job description

- Analyzes each acute care inpatient medical record and outpatient medical record for pertinent information, and accurately enters the required information into the database / registry systems, using direct data entry. This includes, but is not limited to, Inpatient Core Measure findings, Outpatient Core Measure findings, Condition Specific National Databases / Registries, Monitors for Special Studies, and Metrics for Focused Studies. - References the required source documents of each medical record, to complete accurate abstraction of all possible findings. - Modifies collection of findings when required by changes in collection options, and/or software upgrades to the system. - Reviews and acts on any upgrade information regarding changes to abstraction requirements and/or guidelines. - In the event of system down time, appropriately uses the paper abstraction tool, with accurate data entry to be completed when the system is again available. - Maintains at least a 95% accuracy rate for abstraction. - Accesses and reviews current specifications / guidelines to assure appropriate application to the specific case scenarios. - Assists the Department Coordinator to complete abstractio...