Chart Abstractor Level I

Marketing Statement NYC Health + Hospitals/Jacobi is a 457-bed teaching hospital affiliated with the Albert Einstein College of Medicine. The facility has earned numerous Center of Excellence designations, accreditation, and recognition for its renowned Level 1 Trauma Center, Burn Center, Surgical Intensive Care Unit, regional Stroke Center, Snakebite Treatment Center, Breast Health Center, Bariatric Surgery Center, and Cancer Service. The facility also offers the region’s only multi-person hyperbaric chamber, allowing up to nine patients to dive together at one time. Jacobi’s Ambulatory Care Pavilion is a stunning complement to its inpatient acute care, allowing staff to provide patients with high-quality service in a modern, state-of-the-art environment.

At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.

Duties & Responsibilities Purpose of Position :

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.

Under supervision, performs assigned duties related to abstracting, reporting, validating, and analyzing specified quality measure data, as well as identifying potential opportunities for improvement.

Essential Duties And Responsibilities

• 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.

Minimum Qualifications For Appointment to Assignment Level I:

• A valid New York State license and current registration to practice as a Registered Professional Nurse (RN)

issued by the New York State Education Department (NYSED); and Bachelor of Science in Nursing degree

from an accredited college or university; and one (1) year of chart abstraction experience or two (2) years

of medical records review or utilization and case management experience; or

• Valid New York State license and current registration to practice as a Nurse Practitioner (NP) issued

by the NYSED; and one (1) year of experience, as described in “1” above; or

• Valid New York State license and current registration to practice as a Physician Assistant (PA) issued by

the NYSED; and one (1) years of experience, as described in “1” above; or

• Successful completion of education that leads to a clinical degree; and one (1) of experience, as described

in “1” above.

Department Preferences How To Apply If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.