What are the responsibilities and job description for the Nurse Medical Record Abstractor - Birth Defects Surveillance position at Tennessee Department of Health?
Overview:
The Tennessee Birth Defects Surveillance System (TNBDSS) within the Family Health and Wellness (FHW) Division of the Tennessee Department of Health (TDH) is
accepting applications for a Medical Record Abstractor position.
This position is full-time hybrid position - remote with a minimum requirement of 1-2 in-person onsite days each month (Central Office located in Nashville, TN).
The Medical Record Abstractor will serve as a subject matter expert for birth defects case management and will be primarily responsible for medical record processing and abstraction.
Responsibilities:
- Request medical records of persons with suspected or identified birth defects using a developed algorithm
- Conduct case verification on all reports received on key birth defect diagnoses
- Review assigned medical records (digital, electronic, and hard copies) and extract relevant information and required data variables
- Cross-reference information from multiple sources to ensure abstracted data is complete and accurate
- Perform data entry into iCMS database for abstracted medical records
- Review data entry by non-clinical staff to ensure clinical accuracy
- Collaborate with the TNBDSS team to identify issues and ensure data processes are complete and accurate
- Maintain partnerships with facility HIM staff and provide feedback as it relates to process improvements
- Complete abstraction assignments on time with minimal supervision
- Attend regular meetings with the TNBDSS team
- Maintain ongoing education on developments in patient care, data management, birth defects, healthy pregnancy, and health equity
Requirements:
- Undergraduate (Associate or Bachelor) degree in a healthcare-related field
- Extensive clinical experience (5 years or more; Medical Assistant, Phlebotomy, etc.) may be considered in lieu of formal education. (Completion of a nursing program preferred)
- At least 1 year in Health Information Management; Coding, Nursing, and/or Medical Record abstraction experience required
- Clinical background in Pediatrics, Labor/Delivery, Congenital Birth Defects, and/or Maternal/Child Health preferred
- Ability to maintain HIPAA compliance at all times
- Ability to work independently, responsibly, and efficiently; problem-solving and communicating when needs are present
