Description
GENERAL OVERVIEW :
Abstracts clinical data from medical records in accordance with regulatory and administrative reporting requirements.
ESSENTIAL RESPONSIBILITIES :
- Abstracts key clinical findings accurately and in a timely manner and performs direct data entry for inclusion into an aggregate database to meet the requirements of the state, internal use, third party payer requirements and external quality improvement participation based on guidelines. (80%)
- Performs system functions and report running as needed. (10%)
- Participates in ongoing data quality studies to ensure an accurate database. (10%)
- Performs other duties as assigned or required.
QUALIFICATIONS : Minimum
Minimum
High school diploma or equivalent.
Preferred
- Associate's Degree.
- Successful completion of college-level courses in Anatomy & Physiology and Medical Terminology.
- Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA).
- Minimum 1 year abstracting experience preferred. Minimum 1 year medical record experience.
- Proficient in the use of computer systems to include GroupWise, Microsoft Office, mainframes and the electronic medical record.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation / gender identity or any other category protected by applicable federal, state or local law.
Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation / gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities / Women / Protected Veterans / Disabled / Sexual Orientation / Gender Identity ()
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