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Clinical Registry Abstracter

Role overview

Qualifications

  • Graduate of an accredited school of nursing or other clinical degree or certificate preferred
  • Minimum two years of medical terminology experience
  • Analytical skills necessary to independently collect, analyze, and interpret clinical data
  • Strong computer and organizational skills

Responsibilities

  • Review both paper and electronic medical records to accurately interpret and record required data
  • Adhere to data submission reporting deadlines
  • Communicate project status and key project issues to supervisor
  • Demonstrate courtesy and professionalism in interactions with various stakeholders

Key facts

Hard skills

Other skills

  • Analytical Skills
  • Computer Literacy
  • Organizational Skills
  • Microsoft Office
  • Communication
  • Decision Making
  • Collaboration

About the company

UChicago Medicine logo

UChicago Medicine

  • Hospitals & Health Systems
  • 5,001–10,000
The University of Chicago Medicine has been at the forefront of medicine since 1927, when we cared for our first patients. Our mission is to provide superior health care in a compassionate manner, ever mindful of each patient's dignity and individuality. To accomplish our mission, we call upon the skills and expertise of all who work together to advance medical innovation, serve the health needs of the community, and further the knowledge of those dedicated to caring. As one of the nation’s leading academic medical institutions, UChicago Medicine comprises the Medical Center, Pritzker School of Medicine and the Biological Sciences Division. Its main Hyde Park campus is home to the Center for Care and Discovery, Bernard Mitchell Hospital, Comer Children’s Hospital and the Duchossois Center for Advanced Medicine. It also has a 108,000-square-foot facility in Orland Park as well as an outpatient clinic in Chicago's South Loop, as well as affiliations and partnerships that create a regional network of doctors in dozens of Chicago-area communities. UChicago Medicine offers a full range of specialty-care services for adults and children through more than 40 institutes and centers including an NCI-designated Comprehensive Cancer Center. It has 805 licensed beds, nearly 850 attending physicians, about 2,500 nurses and over 1,100 residents and fellows. Harvey-based Ingalls Health joined UChicago Medicine’s network in 2016.

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Job description

Be a part of a world-class academic health-care system at UChicago Medicine as a Vascular Neurology Clinical Registry Abstractor in the Neuroscience Department. 

The Vascular Neurology Clinical Registry Abstracter supports clinical performance of stroke patients through abstraction, review, and reporting of clinical data to support initiatives related to quality improvement, accreditation, and regulatory requirements. The CRA is responsible for collecting clinical data from medical records for the timely submission into data registries and other clinical information systems within the organization. The CRA will use clinical knowledge and background to provide complete and accurate data and information regarding patient care as documented in the medical record. The CRA obtains appropriate clinical documentation through collaborative communications with the database manager, PAs, ICU, floor staff, and surgeons. 

Essential Job Functions:

  • Reviews both paper and electronic medical records to accurately interpret and record required data.
  • Reviews and becomes familiar with documentation in order to correctly interpret data according to the regulations.
  • Adhere to data submission reporting deadlines.
  • Communicate project and status and key project issues to supervisor.
  • Demonstrates courtesy and professionalism through interaction, appearance, attitude, and written and oral communication with visitors, co-workers, physicians, and other hospital personnel as to represent the department as a high-quality service area of the Hospitals.
  • Acknowledges and supports Hospitals defined goals and approach to patient care; attends regular training sessions and management classes to improve patient and customer communications.
  • Completes other duties as assigned or suggested by the Manager, Director, Associate and Technical Directors.
  • Performs other duties assigned.

Qualifications:

  • Graduate of an accredited school of nursing or other clinical degree or certificate preferred.
  • Minimum two years of medical terminology experience.
  • Experience with registries and/or databases is preferred. 
  • Analytical skills necessary to independently collect, analyze, and interpret clinical data
  • Strong computer and organizational skills
  • Excellent interpersonal, verbal, and written communication skills
  • Ability to work independently and make decisions
  • Ability to work independently and make decisions
  • Ability to collaborate effectively with clinical and administrative staff 

Preferrered Qualifications

  • Experience with registries and/or databases is preferred. 
  • Bedside experience
  • Background or Experience in Project Improvement
  • Experience with Microsoft Office

Position Details:

  • Job Type/FTE: Full-Time (1.0 FTE) 
  • Shift: Days
  • Work Location: Remote
  • Unit/Department: Neuroscience Admin
  • CBA Code: Non-Union

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