Chart Abstractor

We are seeking a detail-oriented and experienced Chart Abstractor (Temp) to join our team for a limited-term project. The Chart Abstractor will be responsible for reviewing medical records and extracting key clinical data according to project-specific guidelines and quality standards. This role is essential to ensuring accurate, consistent data collection to support quality initiatives, reporting, or registry submissions.

Key Responsibilities:

• Review and abstract data from electronic and/or paper medical records.
• Extract required information such as diagnoses, procedures, lab results, treatments, and outcomes.
• Enter abstracted data into designated databases or software systems with a high degree of accuracy.
• Follow project protocols, coding standards, and documentation guidelines.
• Communicate with clinical or data quality staff when needed to clarify documentation.
• Meet productivity and quality benchmarks consistently.
• Maintain patient confidentiality and comply with HIPAA and other relevant regulations.
• Participate in training sessions and team meetings as required.

Qualifications:

• High school diploma or GED required; associate or bachelor’s degree in Health Information Management, Nursing, or a related field preferred.
• Experience with medical record review and data abstraction, preferably in a clinical or registry environment.
• Knowledge of medical terminology, ICD-10, CPT coding, and clinical documentation.
• Familiarity with EHR systems such as Epic, Cerner, Meditech, etc.
• Strong attention to detail and analytical skills.
• Ability to work independently and meet deadlines.
• Certified Tumor Registrar (CTR), RHIT, RHIA, LPN, RN, or other relevant credential preferred.

Physical Requirements

This position requires full range of body motion. While performing the duties of this job, the employee is regularly required to sit, walk and stand;

Equal Employment Opportunity Statement

We provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

The statements contained herein are intended to describe the general nature and level of work performed by the Chart Abstractor but is not a complete list of the responsibilities, duties, or skills required. Other duties may be assigned as business needs dictate. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.