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Job Summary:

Key Position Details:

• 1.0 FTE (40 hours/week)
• Day shift
• No weekends

Job Description:

Principle Responsibilities

• Data Abstraction.
  • Identifies appropriate charts for abstraction
  • Reviews, evaluates and analyzes medical records.
  • Locates and abstracts data from the medical record.
  • Makes decisions and collects accurate data based on the specifications or project requirements.
  • Enters information collected onto assigned data collection forms.
  • Assures data entered into collection tool is accurate and complete.
  • Reports errors or discrepancies in data extracts and tests new extracts for accuracy.
  • Electronically submits data within specified time frame.
• Data Analysis.
  • Reviews new specifications, identifying impact on current abstraction process.
  • Participates in validation and inter-rater reliability exercises.
  • Determines accurate data element interpretation.
  • Monitors abstraction workload along with reporting deadlines.
• Data Dissemination.
  • Collaborates with customers in order to understand data specifications and abstraction methodology as it pertains to medical record documentation.
  • Assists in the development and maintenance of abstraction tools to reflect workflow and element changes.
  • Mentors co-workers and new staff regarding workflow and measure education.
  • Participates in quarterly validation process.
  • Identifies opportunities for improvement and shares information with clinical team and leaders.
  • Other duties as assigned.

Job Requirements

• Associate's or Vocational degree in Nursing. Registered Nurse with at least 3 years of hospital clinical experience required or
• Bachelor's degree in Nursing. Registered Nurse with at least 3 years of hospital clinical experience preferred
• 3 to 7 years experience in a Hospital clinical environment, hospital coding environment, or other relevant experience required
• 3 to 7 years experience with Electronic Medical Record, Chart review, Microsoft office software, window environment, data entry preferred
• 3 to 7 years experience with a high comfort level for working with physicians, nurses, quality leaders and other key stakeholders and thinking to anticipate consequences and trends required
• 3 to 7 years Detail oriented, typing/data entry accuracy, strong organizational and time management skills, ability to be flexible and adapt to change, ability to prioritize workload required
• Licensed Registered Nurse - MN Board of Nursing required

Physical Demands
Sedentary:
Lifting weight Up to 10 lbs. occasionally, negligible weight frequently