The Medical Record Coordinator and Abstractor will serve as a subject matter expert for birth defects case management and will be primarily responsible for medical record processing and abstraction.
Job duties will include:
- Request medical records of persons with suspected or identified birth defects (maternal and infant) from birthing facilities and Healthcare Providers in Tennessee, using a developed algorithm
- Conduct case verification on all reports received on key birth defect diagnoses using medical records
- Review assigned medical records (digital, electronic, and hard copies) and extract relevant information
- Cross-reference information from multiple sources to ensure abstracted data is complete and accurate
- Perform data entry into iCMS database for abstracted medical records
- Review data entry by non-clinical staff to ensure clinical accuracy
- Submit service referrals to appropriate social services, when indicated
- Work closely with the TNBDSS Team to identify issues and ensure data processes are complete and accurate
- Maintain partnerships with birthing facility HIM staff and provide feedback as it relates to process improvements
- Maintain HIPAA compliance at all times
- Work independently, responsibly, and efficiently; problem-solving and communicating when needs are present
- Complete abstraction assignments on time with minimal supervision
- Attend weekly meetings with the TNBDSS team
- Maintain ongoing education on developments in patient care, data management, birth defects, healthy pregnancy, and health equity
