Performs primary data abstraction duties for NSQIP-Peds and ensures high levels of abstraction accuracy for assigned accounts via validation activities. Demonstrates strong communication, documentation, organizing, and planning skills to ensure strong leadership of multiple accounts concurrently.
- Collects and abstracts data from patient medical records, especially those related to surgical procedures. This includes information on diagnoses, treatments, procedures, and outcomes.
- Ensures the accuracy and completeness of the abstracted data. This involves cross-referencing information from multiple sources within a patient\'s medical record.
- Adheres to specific clinical data abstraction guidelines and standards, such as those set by the American College of Surgeons.
- Enters the abstracted data into a database or registry, often using specialized software. This includes maintaining and updating the data as necessary.
- Participates in quality assurance processes to ensure data integrity. This involves regular audits of the data or the abstraction process.
- Remains informed about developments in patient care and data management to ensure ongoing competency in the role.
- Experience abstracting NSQIP-Peds measures within the last 2 years is required. Must have current SCR.
- Familiar with medical records, billing/documentation practices, Microsoft Office, and standard healthcare quality concepts
- Ability to work independently.
- Relies on experience and judgment to plan/accomplish goals.
- Maintains a strict level of confidentiality in all aspects of work.
- Demonstrates a high standard of accuracy and attention to detail.
- Excellent interpersonal and communication skills.
- Remote position.
- BSN, LPN, or RN preferred.
- CPHQ preferred.