Chart Abstractor Level II

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This range is provided by NYC Health + Hospitals. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

$98,584.00/yr - $98,584.00/yr

Under direction, provides ongoing System-wide medical record reviews/data abstraction and participates in the data validation process for quality of care indicators, as defined by regulatory agencies and quality programs. Ensures optimal utilization of resources, service delivery and compliance with NYC Health + Hospitals, health care settings, and all relevant regulatory policies, procedures, and standards of care for better outcomes and improved patient experience.

May be required to train or orient new members of the team. All personnel perform related work.

• Performs chart abstraction, clinical data compilation and analysis to generate reports and view System-wide trends to share with quality and clinical leads at the health care setting and System-level.
• Conducts clinical data validation review for electronic clinical quality measures (eCQMs) and internal quality assurance activities to ensure data accuracy and consistency across all data measures.
• Maintains, coordinates, and monitors clinical data collection and analysis on performance improvement opportunities, patient safety and compliance issues related to quality core measures; assists in the development of standardized processes to efficiently collect and analyze data.
• Acts as a liaison by providing feedback to and collaborating regularly with multiple stakeholders at the health care setting and System-level, including but not limited to Clinical Council physicians, Nursing leaders and Department and unit staff, and other stakeholders.
• Conducts concurrent chart reviews for programs requiring time-sensitive data abstraction, including but not limited to sepsis; provides close to real-time feedback to clinical and non-clinical stakeholders.
• Responsible for the accurate and timely entry of data into program database portals, and meets the caseload accrual requirement protocol.
• Participates in clinical audits conducted by regulatory agencies and governing bodies. Interacts with regulatory agencies for clarification and interpretation of applicable regulations.
• Conducts literature review of Patient Safety and Performance Improvement processes and communicates appropriate information to the designated quality and health care setting department staff on current regulations and new developments and trends.
• Works with clinical, site level quality and other appropriate staff to assist with timely and accurate clinical data submission and developing strategies and corrective actions to enhance continuous compliance with measures.
• Performs other related work, as assigned.

• Contributes to the strategic planning and quality improvement initiatives and activities related to chart abstraction, clinical data validation, and quality metric reporting, by providing expert-level abstraction and assessment, and effective recommendations or solutions for improvement.
• Leads and coordinates team meetings to discuss processes of chart abstraction, clinical data analysis and validation; identifies standardization and improvement needs within internal department.
• Assists in the development or revision of policies, procedures, and guidelines to support best practices for chart abstraction, clinical data validation, and quality reporting and ensures all compliance and regulatory standards are met.
• Supports clinical, quality management and other staff with timely and accurate clinical data submissions to external quality performance measurement platforms. Abstractions may include, but are not limited to measures required for submission to The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), New York State Department of Health (NYSDOH), Leapfrog and other regulatory agencies.
• Serves as lead Chart Abstractor, providing guidance to other Chart Abstractors…