Patient Records Abstractor 4

University of California

$85K — $100K *
Hospitals & Medical Centers
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years of relevant hospital experience, with 3+ years in abstracting complex cases at an Academic/Teaching or NCI-designated Comprehensive Cancer Center.
  • In-depth knowledge of California Cancer Registry reportability, coding, and abstracting requirements, as well as cancer program accreditation standards.
  • Thorough understanding of human anatomy, medical terminology, oncology terminology, and treatment modalities.
  • Proficient in morphology and topographic site coding (ICD-9, ICD-0); expertise in current cancer staging schemes (TNM, SEER).
  • Strong computer skills, including familiarity with CNExT software, EPIC electronic medical records, Microsoft Word, and Excel.
  • Ability to abstract a full case within 1.5-2 hours and meet a minimum quota of 80-100 cases per month if full-time.
  • Current certification as a Certified Tumor Registrar (CTR) with ongoing continuing education.

Responsibilities

  • Accurately abstract and code records to fulfill California Cancer Registry and Commission on Cancer reporting standards.
  • Identify cases for abstraction from multiple medical and administrative sources, ensuring thorough investigation of case finding resources.
  • Assess cases for correspondence to collect additional staging or treatment information from outside providers.
  • Perform visual editing of completed cases, averaging 50 cases per day.
  • Lead quality control projects, including audits and training sessions for other registrars.
  • Maintain systems for tracking cases and ensure quality control compliance with a high accuracy rate.
  • Interpret complex treatment information from diverse data sources, including hard-copy summaries and electronic databases.

Benefits

  • Comprehensive health and wellness programs.
  • Access to professional development and continuing education.
  • Retirement plans with employer matching contributions.
  • Generous vacation and paid leave policies.
  • Employee assistance and mental health support services.
Full Job Description
Job Description

This level requires special skills and knowledge in several areas such as coding, data processing, and billing systems, governmental systems, and programs. Identifies specified malignant cases to be abstracted and reported by the UCSF Medical Center Cancer Registry from various reports, medical records, and electronic files. Abstracts and codes information in the prescribed format to satisfy the requirements of the State, Commission on Cancer, and Surveillance, Epidemiology and End Results (SEER) program of the National Cancer Institute. Maintains systems programs for tracking cases and quality control. Must be familiar with oncology treatment guidelines and practices. Must be able to coordinate and take the lead on quality control projects involving other registrars in the department. Completes assignments within the designated time frame and according to the requested specifications. Certification as a Certified Tumor Registrar (CTR) is required.

Responsibilities

of time

Essential Function (Yes/No)

Key Responsibilities

(To be completed by Supervisor)

75
Accurately abstracts and codes pertinent information from the medial records in the prescribed format satisfying California Cancer Registry (CCR) reporting requirements, as well as Commission on Cancer, and departmental standard using the CNExT cancer registry software. Required to maintain >97% accuracy rate as defined by the Data Standards/Quality Control department of the CCR. Applies treatment information for radiation oncology cases. Reviews all treatment summaries and consults for radiation oncology cases, verifies existing treatment and follow-up, and applies new/missing information. Correctly interprets treatment information from hard-copy summaries, and from within Radiation Oncology database (MOSAIQ) on-line.
10
Identifies cases to be abstracted and coded through various sources (e.g., CAS (pathology & radiology), ADT billing, Dermatopathology, neuropathology). Assures that all case finding sources are thoroughly investigated in CNExT and APEX (Epic)
5
Accurately assesses the case determining if correspondence should be sent to collect further staging, treatment or diagnostic information from outside providers.
5
Provides expertise to perform visual editing of completed cases, up to 50 cases/day.
5
Takes lead responsibility for supervising other registrars on QC projects (e.g., re-abstracting audits, TNM staging audits, re-casefinding audits and assists manager with training CTR-eligible staff.

100%
(To update total %, enter the amount of time in whole numbers (without the % symbol - e.g., 15, 20) then highlight the total sum (e.g., 1%) at the bottom of the column and press F9. The total sum should add up to 100%.)

Qualifications

REQUIRED QUALIFICATIONS:
  • 5 yrs of relevant hospital experience, 3 years of which must be in abstracting complex cases in facilities such as an Academic/Teaching Cancer Center and/or a NCI-designated Comprehensive Cancer Center.
  • Requires a complete and accurate knowledge of mandatory California Cancer Registry reportability, coding, and abstracting requirements, and knowledge of current mandatory standards for cancer program accreditation by the American College of Surgeons (Commission on Cancer).
  • Must have a thorough knowledge of human anatomy and physiology, medical terminology, oncology terminology, and oncology physiology, and oncology diagnostic and treatment modalities.
  • Must be proficient in morphology and topographic site coding by International Classification of Diseases (both ICD-9 and ICD-0). Expertise is required in current staging schemes (SEER Summary, SEER Extent of Disease, Collaborative Stage and American Joint Committee Cancer Staging (TNM).
  • Must have good computer skills with a working knowledge of the CNExT cancer reporting software, Cancer Alert System (CAS) casefinding module, MS Word and Excel or other spreadsheet and word processing applications.
  • Must be familiar with extracting cancer information from EPIC electronic medical record software,
  • Must be able to abstract full case in 1.5-2 hours maximum for analytic cases, and to meet minimum quota of 80-100 cases per month if employed full time.
  • Must be able to manipulate the database for report and studies for researchers and administrators, as well as clinicians. Must have good communication and writing skills.
  • Must have CTR (Certified Tumor Registrar) current certification by the National Cancer Registrars Association.
  • Must be able to navigate remote access through Citrix Receiver application, and have a computer that allows installation of Big Fix application for network identification, Pulse Secure/DUO 2-factor authentication application, runs MS Windows 10, and that can demonstrate latest DDPE encryption.


REQUIRED LICENSES AND/OR CERTIFICATIONS:
  • Must have CTR (Certified Tumor Registrar) current certification by the National Board for Certification of Registrars (NBCR), and have annual continuing education units (CEUs) monitored for continuous certification by the National Cancer Registrars Association.


Salary Information

The final salary and offer components are subject to additional approvals based on UC policy.

Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.

To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

Similar Jobs

More Jobs at University of California

More Hospitals & Medical Centers Jobs

Find similar Patient Records Abstractor 4 jobs: