Primary City/State:
Tucson, Arizona
Department Name:
Stroke Center-Hosp
Work Shift:
Day
Job Category:
Revenue Cycle
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This position is a vital role within our Comprehensive Stroke team. In this role you will be performing chart reviews and stroke logs. Our ideal candidate will be familiar with abstracting data from charts to complete the logs required for our DNV regulatory requirements. RHIT certificationor equivalent coding experience is highly preferred as you will be abstracting data and watching trends. This is a great position if you are self-managed, enjoy abstracting/chart review and desire a flexible schedule.
Schedule: Monday-Friday, 8hr or 10hr shift, flexible scheduling
Location: BUMC-Tucson Campus
Ideal candidate:
- RHIT certification;
- 2+ years of Coding experience
Banner - University Medical Center Tucson is nationally recognized for providing exceptional patient care, teaching future health-care professionals and conducting groundbreaking research. Also located on the campus is Diamond Children's - recognized for its specialized pediatric services including neonatal and intensive care, emergency medicine and cancer therapies. Banner - University Medical Center Tucson is a Level 1 Trauma Center, meaning we care for the most critically injured patients. The hospital is consistently listed among the nation's top hospitals in the prestigious Best Hospitals ranking by U.S. News & World Report. The academic medical center has earned Magnet Recognition becoming the only hospital in southern Arizona to meet the rigorous standards of the American Nurses Credentialing Center’s Magnet Recognition Program® for nursing excellence. The hospital's physicians are full-time faculty of the University of Arizona College of Medicine - Tucson. Our specialty services include comprehensive heart and cancer care, advanced neuroscience techniques and a multi-organ transplant program.
POSITION SUMMARY
This position participates in activities associated with the stroke registry, including data gathering, data abstraction, timely and accurate data entry/coding, data validation and reporting that meets stroke center requirements. Serves as a member of the multi-disciplinary stroke team to support patient quality and performance improvement initiatives.
CORE FUNCTIONS
1. Collects required information for all stroke patients meeting inclusion criteria by reviewing multiple sources including medical records, EMS records, and various hospital software programs. Abstracts required data elements including basic patient demographics, clinical procedures, clinical and diagnostic results. Enters data accurately related to the stroke patient’s history, diagnosis, therapy and outcome.
2. Complies with Det Norske Vertitas (DNV) and/or Joint Commission Comprehensive and Primary Stroke Certification core measures for patients with a primary diagnosis of Stroke. Complies with applicable standards and regulary requirements set forth by accrediting organizations. Contributes to initiatives related to quality improvement and certification readiness.
3. Uses scaling and scoring tools such as current International Classification of Diseases codes (ICD), the Abbreviated Injury Scale (AIS) developed by the Association for the Advancement of Automotive Medicine (AAAM), and Injury Severity Score (ISS). Codes injuries and procedures for the database as required for clinical care, research, benchmarking and accreditation. Ensures the hospital remains compliant with all applicable standards related to the respective State registry, American College of Surgeons, National Trauma Data Bank, Trauma Quality Improvement Program (TQIP) and trauma center accreditation.
4. Maintains the Stroke Registry database in compliance with state regulations and accreditation requirements. Assists team with documentation and management of the registry database as it relates to clinical research, benchmarking and accreditation.
5. Develops and produces timely information/reports as requested and contributes to timely data submission to national and state agencies to ensure accreditation/verification/designation statuses are maintained.
6. Works as an integral part of the stroke quality and performance improvement program. Identifies opportunities for improvement and/or areas of concern commensurate with level of training/knowledge/experience.
7. Works independently under limited supervision. This position functions at assigned facility and has no budgetary responsibilities. Internal and external customers include physicians, clinical staff, facility employees, stroke team members, state and national agencies.
MINIMUM QUALIFICATIONS
High school diploma, or equivalent.
Requires a level of education equivalent to that of a Registered Health Information Technologist (RHIT) or certified coder, including advanced education in medical terminology, anatomy and physiology.
Experience in coding, abstracting and data management as normally acquired over two or more years of clinical and/or experience in a coding or clinical data management position.
Ability to interpret and comprehend information contained within the patient’s medical record and to find all required data elements for the stroke registry. Ability to abstract registry data from patient’s medical/health record using standard setters regarding abstracting and coding procedures.
Exceptional data entry and data management skills are required with a high degree of accuracy. Ability to work effectively with standard office software, electronic medical records system and databases, spreadsheet and graphical programs.
Must possess excellent organizational, written and verbal communication skills.
Ability to prioritize multiple work projects and tasks.
PREFERRED QUALIFICATIONS
Registered Health Information Technologist or Registered Health Information Administrator certification (RHIT or RHIA) or Certified Professional Coder (CPC).
Past stroke registry experience preferred.
Additional related education and/or experience preferred.
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