Job Description:
Professional clinical data abstractors/registrars support the on-going work of performance improvement through the enterprise by performing high-quality data abstraction, compilation, validation, for clinical registries using clinical expertise to support abstraction activities and support/educate team members related to registry domain topics. The abstractors/registrar/clinical reviewer partner with registry owners in the identification of opportunities and performance improvement activities. The registries may include federal/accreditation program, third-party gold standard registries, and internal regulatory required abstraction/registries. These registries are critical in support of CMS/TJC regulatory requirements, Clinical Excellence, Clinical Services and Programs for quality improvement and identification of improved outcomes.
** Different professional accreditation organizations, registries or Centers of Excellence designation utilize different names for staff who function as an abstractor, specialist, or registrar. This job description covers partnerships, dotted or otherwise direct lines of connection to clinical registries stakeholders as defined by these organizations. This job description is an Intermountain job description to meet these requirements independent of the registry specific title recommendations. When a registry requires specific reference to roles or relationships they are defined below:
- American College of Surgeons (ACS), Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP). References to Clinical Reviewer are covered in this document by the term “Abstractor”. References to the MBSAQIP Coordinator, MBSAQIP Surgeon and office staff are covered by terms such as “Coordinator, Medical Staff, Surgeon and office staff, stakeholder, as well as hospital or enterprise positions such as Leader, Clinical Leader, Clinical Programs or Services, and hospital administrative leaders”.
- American College of Surgeons (ACS), Trauma Registry (TQIP). References to Abstractor or Registrar are covered in this document by the term “Abstractor”. Trauma Program Manager/Coordinator, Trauma Surgeon, Performance Improvement Coordinators, Outreach and Injury Prevention Coordinator are covered in this document by terms such as “Coordinator, Medical Staff, Surgeon and office staff, stakeholder, as well as hospital or enterprise positions such as Leader, Clinical Leader, Clinical Programs or Services, and hospital administrative leaders”.
- Execute professionally and expertly the technical work of abstraction in accordance with the specifications of the registry. This includes abstraction and input of clinical element from the Electronic Health Record (EHR), surgeons/physicians’ offices and associated medical records with unrestricted access as required by specific registry. Duties include patient identification, validation, timely abstraction and submission of data consistent with registry-defined requirements, capture of index and follow-up components, and strict adherence to Intermountain and registry HIPAA/privacy standards. The clinical reviewer must also complete initial certification and maintain ongoing education/certification requirements specific to the registry, while supporting performance improvement activities.
- Supports non-clinical abstractors with training / education related to clinical expertise in abstraction.
- When allowed by a registry, they use clinical professional skills to understand healthcare workflows and interpret documentation as it relates to abstraction.
- Assists in identification of clinical, financial, and risk issues and escalates them to the supervisor and/or clinical leaders as appropriate.
- Establishes and maintains relations with key registry stakeholders as a trusted partner in the performance improvement related to registry work. Supports registry owner meetings, site visits, and processes with expertise to clarify, inform, identify opportunities, outcomes review, and support performance improvement work. These partnerships, depending on the registry, may include a coordinator or program lead, members of the medical staff, affiliated office staff, clinical programs or services leaders, and hospital administrative leaders. Keep leader informed of applicable program volumes and follow-up requirements, to partner with immediate leader in evaluation to ensure adequate resources.
- Where accreditation standards or registries require, meet minimum annual requirements for attendance at selective meetings and actively participate in the site visit (for example, attend at least two of three committee meetings with mandatory attendance at the MBSAQIP annual comprehensive meeting or large committee meetings).
- This role does not work as a clinician by entering registry specific variables into the electronic health record for the purposes of improving registry outcomes unless this is required state or federal requirement.
Performs standard work duties as assigned by leader and/or supporting performance improvement leaders or committee in the structured work.
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- Current LPN, RN, Pharmacist, Respiratory Care, Radiology Technology or Healthcare Professional license or practice as a Cardiac Cath Lab technician.
- Three years of clinical work experience in acute or ambulatory care in clinical areas of registry or ICD/CPT coding work experience
- Excellent written and verbal communication skills.
- Experience utilizing knowledge of medical terminology, pharmacology, and anatomy.
- General computer and internet skills, including word processing and spreadsheets.
- As a hybrid position, requirements to go into hospital or facility as needed to support required meetings, site visits, and team meeting requirements
- Depending on the registry this role will be supporting, additional clinical experience may be required in the registry topics.
If a caregiver in an Abstraction Partner job description obtains the current minimum requirements mentioned in the first bullet above and has 3 years abstraction experience at Intermountain in the registry they support, the time in clinical work experience is waived.
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- Bachelor's degree.
- Experience in the abstraction of clinical data.
- Certification &/or meets minimum education requirements if applicable by registry.
- Basic or intermediate statistical knowledge.
Presentation software experience.
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Interact with others requiring caregiver to communicate information
Operate computers, telephones, office equipment, and manipulate paper requiring the ability to move fingers and hands.
See and read computer monitors and documents.
Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.
For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
Ability to travel for system meetings required .
Location:
Primary Childrens at Lehi
Work City:
Lehi
Work State:
Utah
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$35.60 - $54.93
We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
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All positions subject to close without notice.
