HIM Operations Clinical Data Abstractor

Department:

Department:
13533 Enterprise Revenue Cycle - HIM Ops Services and Support Lab Data Abstracting
State:
Full time
Benefits Eligible:
Yes
Hours Per Week:
32
Schedule Details/Additional Information:
32 hours, 8-4:30pm, to include every other weekend
Work from home
Pay Range:
$22.90 - $34.35

Major Responsibilities
Navigates various electronic health record (EHR) and computer applications to perform job duties to support patient care, care management initiatives, revenue cycle,Health Maintenance and regulatory requirements.

Receives, sorts, prepares, and scans internal and external clinical documentation into the EHR according to Health Information Management (HIM) procedures.
Analyzes non-interfaced patient laboratory reports to ensure patient identifiers and compliance with all applicable regulations including

Health Maintenance, College of American Pathologist (CAP) Accreditation,and Clinical Laboratory Improvement Amendments (CLIA). Utilizes optical character recognition software to electronically and or manually enter appropriate datainto the EHR.
Identifies,creates,or releases the appropriate laboratory tests by applying knowledge of medical terminology and laboratory nomenclature. Selects the correct order templates, discretely enters, andvalidateindividual components, comments, footnotes, performing laboratory name and address, collection date and time, units of measure, reference ranges,abbreviations,and symbols.

Discretely abstracts and imports laboratory results and other clinical documentation into the EHR.Records normal and abnormal findings. Ensures laboratory values are accurately entered and flagged to promptly alert patients and cliniciansregardingnormal and abnormal results.
Locates or creates the appropriate patient, encounter, and/or order. Correctly paginates and classifies documentation to the appropriate document type and description.

Ensures appropriate security levels,protection,and destructionofelectronic and physical PHI information according to Health Insurance Portability and Accountability Act (HIPAA).
Readily adapts to new and/or evolving laboratory tests, parameters, reference ranges, and regulations. Validates all data points and laboratory codes and uses critical thinking skills toidentifyand investigate questionable information and troubleshoot issues. Escalates issues andreportspatterns of concern to leadership timely.
Performs quality assurance of scanned documentation to ensure clinical documentation is scanned to the correct patient, encounter, document type, and orderablein a timely manner according to Health Information Management policy. Verifies the electronic information against the paper document tovalidateaccuracy, clarity, and legibility
Completestimelyerror correction or notification process;including re-resulting ordeletingdocumentation as needed. Ensure secure retention and destruction of electronic and physical PHIin accordance with applicable regulations and policies
Communicates with patient care and external performing laboratories via phone, email, fax, Epic In-Basket, and other methods to provide education, STAT laboratory data entryservicesand other required information.

Minimum

Job Requirements

Education
High School Graduate or Equivalent
Certification / Registration / License

Experience
Typically requires 1- 2 years of experience gained through working in aHealth Information Management,Medical Laboratory department or other related healthcare setting.
Knowledge / Skills / Abilities
Proficient computer and keyboarding skills with the ability to learn new computer software systems such as Epic, Extract

LabDE,Solarity,OnBase, Microsoft 365 and legacy archives.
High attention to detail and accuracy with frequent interruptions.
Ability to prioritize workload and work under…