Medical Record Abstractor (Independent Consultant) - Job Description
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California Pregnancy-Associated Mortality Review
Public Health Institute, Capitola, CA
Deadline for applications: December 31, 2019
ï‚§ Knowledge of medical terminology, anatomy and physiology, and disease processes, with an emphasis in prenatal, labor and delivery and post-partum procedures. Must be familiar with common pregnancy-related labs, vital signs, medications and procedures.
ï‚§ Must have worked at least 2 years in a labor and delivery ward that served high risk OB patients and must have practiced within the past 2 years.
ï‚§ Experience with electronic medical records/systems.
ï‚§ Formal schooling equivalent to or greater than: Associate degree in Nursing, Registered Nurse (RN), Nurse Practitioner (NP), Certified Nurse Midwife (CNM), or Physicianâ€™s Assistant (PA).
ï‚§ Demonstrate an understanding of and responsibility for patient confidentiality and privacy.
ï‚§ Must own password-protected computer.
ï‚§ Computer skills a must â€“ Microsoft Word and familiarity with online data-entry
Scope of Work: This is a part-time position with flexible hours. Work can be done remotely but preferred candidate will live within 30 miles of project office, Santa Cruz, CA.
1) Once hired, must complete certificate in human subject research training through Collaborative Institutional Training Initiative (via Public Health Institute).
2) Attend a 1-2-day training with PHI Staff, location TBD.
3) Accurately abstract and code diagnostic and procedural information from the medical records of women who died of pregnancy-related causes. Sources of data include prenatal care records, hospital medical history forms, hospitalization records (all relevant visits that fall within one year of the death), labor and delivery and immediate post-partum records, relevant transport documentation, and coroner/autopsy reports.
4) Enter data into computer program, which will produce a Case Summary. Edit and e-mail Case Summary to PHI staff in a secure manner.
5) Track completed chart reviews and invoice in a timely manner. (On average, work is 20 hours per month) but can vary.
6) Deliver the hard copies of the medical records in-person or via certified mail to the PHI project office in Capitola, CA.
7) Preferred candidates will have experience serving Black and Latinx perinatal communities.
ï‚§ Ability to work independently. Flexible schedule.
ï‚§ Good communication skills.
ï‚§ Excellent writing skills, computer literate.
ï‚§ Store all project-related information in a [provided] locked file drawer
ï‚§ Maintain 90% accuracy rating to be determined by PHI senior staff during quality control measures.
ï‚§ Abstractors will report directly to PHI staff and communicate any obstacles encountered during the data collection process.
PHI recognizes the value of having a staff that brings a wide range of perspectives to this work based on language, ethnicity, race, gender, socio-economic background, political beliefs, sexual orientation. We are committed to maintaining a diverse, multicultural working environment and particularly encourage applications from candidates with lived experience in the communities we seek to serve.