Abstraction Partner Clinical

Essential Functions 

• 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.

Skills 

• Hospital Care Experience 

• Clinical Care  

• Communication 

• Teamwork 

• Regulatory Compliance 

• Quality Improvement Focus 

• Data Abstraction 

• Documentation 

• Health Information  

• Medical Record Management 

• Clinical Databases 

Job Details

• Fully remote position other than infrequent onsite visits required to support operational needs and accreditation-related activities.

Qualifications 

Minimum Requirements  

• 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.

Preferred Qualifications 

• 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.

Physical Requirements 

• 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.