Clinical Data Abstractor

• Collect, validate, and clinically quality-review patient-level data for national clinical quality initiatives and clinical data registries
• Manage the medical record retrieval process for data abstraction
• Collect complex data elements using established definitions
• Ensure integrity of electronic data transmitted to national databases and registries
• Prepare and interpret clinical data reports
• Collaborate with clinical team members on quality improvement projects
• Translate clinical documentation into actionable improvement information
• Identify variances, evaluate potential causes, and support clinical care improvement action plans
• Support clinical and administrative leadership, quality leaders, subject matter experts, stakeholders, and ad hoc teams
• Provide guidance, consultation, and standard work for registry and clinical database design and maintenance
• Abstract clinical data from electronic medical records according to patient-selection criteria and sponsoring or regulatory guidelines
• Develop efficient data collection and management processes
• Validate data, clarify case questions, and maintain abstraction productivity
• Upload and submit data files; investigate and correct submission errors
• Resolve software, reporting, benchmarking, and related issues with stakeholders
• Foster collaboration between abstraction staff and clinical leaders
• Report quality outcomes, performance, and compliance results to clinical stakeholders
• Review medical records for deviations or non-compliance, identify trends and patterns, and provide stakeholder feedback
• Perform other duties as assigned

Clinical data abstractor supporting Prisma Health quality reporting and improvement

Clinical Data Abstractor collecting and validating patient data for Prisma Health’s quality reporting and clinical registries. Supporting performance improvement through medical-record review and actionable clinical insights.

• Abstract and/or audit moderate to highly complex clinical records, data, and other information
• Apply clinical training, knowledge, and experience to review patient records and abstract data elements for clinical registries
• Ensure compliance with standards of care, policies and procedures, regulations, and accreditation requirements
• Identify and report variances, significant data trends, outlier values, and unusual data for additional review
• Enter data elements and audit findings into registry software and other data collection tools within deadlines
• Maintain productivity standards and competency in measure and registry specifications, definitions, and protocols
• Summarize findings, draw conclusions, maintain variance reports, and communicate findings to clinical data abstractor leadership
• Build working relationships with stakeholders, teams, and committees; attend meetings to disseminate findings, provide education, and answer questions
• Contact patients, families, and provider outpatient clinics by telephone or written communication to identify clinical outcomes and complete registry follow-up documentation
• Facilitate and participate in quality assurance audits to ensure inter-rater reliability and acceptable external audit validation results
• Perform other duties as assigned

RN abstracting clinical registry data for Arizona nonprofit healthcare system HonorHealth

RN Clinical Data Abstractor II

RN Clinical Data Abstractor II reviewing patient records and abstracting registry data for HonorHealth, a nonprofit Arizona healthcare system.
Ensuring quality, compliance, variance reporting, and clinical outcomes follow-up.

• Abstract and review relevant longitudinal information from patient medical records with exceptional accuracy and efficiency, maintaining the highest quality standards.
• Develop deep expertise in our proprietary disease model, ontology, and internal annotation tools to maximize productivity and data quality.
• Support quality assurance initiatives, pilot annotation projects, and guidance and training material development to continuously improve our processes and team capabilities.
• Work collaboratively within the clinical annotation team to maintain consistency in data extraction approaches and ensure delivery commitments are met for all research partners.
• Demonstrate flexibility and a collaborative mindset when adapting to new content areas and evolving project requirements, embracing learning opportunities.
• Identify opportunities for process improvements and contribute to platform enhancement through testing, feedback, and issue reporting.

Clinical Data Abstractor leveraging clinical expertise for rare disease research

Clinical Data Abstractor transforming complex medical records into valuable data for rare disease research at Citizen Health. Collaborating with clinical teams to ensure quality abstraction and support research partnerships.

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Clinical Data Abstractor

RN Clinical Data Abstractor II

Clinical Data Abstractor