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Overview
Looking to be part of something more meaningful? At HonorHealth, you’ll be part of a team, creating a multi-dimensional care experience for our patients. You’ll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact. HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Visit honorhealth.com/benefits to learn more. Join us. Let’s go beyond expectations and transform healthcare together. HonorHealth is one of Arizona’s largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With nearly 17,000 team members, 3,700 affiliated providers and close to 2,000 volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona. Learn more at HonorHealth.com.
Responsibilities
Job Summary
The Clinical Data Abstractor II abstracts and/or audits clinical records, data or other information. The Clinical Data Abstractor II applies clinical training, knowledge and experience in the review of moderate to highly complex clinical information from individual patient records and other sources to abstract data elements for clinical registries and to ensure compliance with standards of care, policies and procedures, regulations or accreditation requirements. In addition, the Clinical Data Abstractor II will identify and report variances from established guidelines, significant data trends, outlier values or unusual data for additional review by physicians, operational and/or quality leadership.
Essential Functions
Utilizes clinical training, knowledge, and experience to abstract/audit moderate to highly complex clinical data; Maintains accuracy in abstraction/audit by following published guidelines, abstraction specifications and/or other established standards; Enters data elements or audit findings into registry software and/or other data collection tools or software within established deadlines; Maintains established productivity standards
Maintains competency in measure and/or registry specifications, definitions, and protocols for work assigned by participating in teleconferences, webinars, conferences, and reviewing updated documentation.
Identifies potential areas of concern/interest; summarizes findings and draws conclusions; maintains ongoing variance reports and communicates findings to clinical data abstractor lead and/or director in a timely manner.
Established effective working relationships with key stakeholders, teams, and committees; attends meetings as appropriate to disseminate findings, provide education, and answer questions.
Contacts patients, families, and/or provider outpatient clinics via telephone and/or written communications postoperatively for the purpose of identifying clinical outcomes and completing required registry follow-up documentation.
Facilitates and participates in quality assurance audits of abstracted/audited data to ensure a high level of inter-rater reliability among the clinical data abstractor team and achievement of acceptable validation results from external audits.
Performs other duties as assigned.
Education
Bachelor's Degree in Nursing - Preferred
Associate's Degree in Nursing - Required
Experience
Acute care experience in surgery, cardiac, emergency or critical care. - Preferred
1 year auditing or abstraction experience. - Preferred
2 years experience in abstracting CMS Core Measures or Clinical Outcomes Registries (NSQIP, STS, ACC, VON NICU, GWTG, etc.) - Preferred
3 years experience working in acute care hospital setting. - Required
Licenses and Certifications
Candidates hired and assigned to the ACS NSQIP or MBSAQIP registry must complete surgical case reviewer training/certification within 90-days of hire (training provided/paid by organization) - Required
Registered Nurse (RN) State And/Or Compact State Licensure Current, valid State of Arizona or compact state Registered Nurse (RN) license. - Required
