Working in the medical or healthcare sector, a Medical Records Abstractor analyzes patient records and other medical data for physicians and researchers. A well-drafted Medical Records Abstractor Resume mentions the following duties and responsibilities – creating medical recognition programs, analyzing and compiling medical information based on paper and electronic charts, investigating missing information, compiling reports for researchers to prevent or recognize diseases; entering abstracted data such as pertinent diagnosis, prognosis, and treatment data from medical charts into the database; tracking routine statistics, analyzing variables in patients and reviewing data for completeness; and collecting follow-up data.
Some of the skills needed to execute the job description include the following – coding and researching skills, knowledge of medical terminology and coding, the ability to exercise integrity to protect patient confidentiality, knowledge of using coding software, and technical skills. An Associate’s degree and certification are highly regarded by employers.
Objective : Hard working Medical Records Abstractor professional that is a strong multitasker, quick learner, and independent self-starter that works well with minimal direction. Proficient with computers, quick learner, proficient with Microsoft Office, punctual, adapt at reading doctor's handwriting, and experience with job analysis and job realignment.
Skills : Microsoft Office, Mac OS X, Windows 8, Medical Terminology, Insurance Billing, Marketing Strategy, Strategic Planning, Lean Six Sigma, Lean Six Sigma, Visio.
Description :
Reviewed medical records and documents and collect clinical data (including, but not limited to patient demographics, disease specific data elements, medications, HAI, and CAUTI) in support of the National Medicare Patient Safety Monitoring System (MPSMS) initiative; as well as, abstract medical records to validate information collected and reported by hospitals for the National Healthcare Quality Report (NHQR).
Accurately entered data according to specifications and guidelines provided by the customer into abstraction software tool (MedTrak and QualityNet).
Maintained high level of confidentiality in compliance with HIPPA regulations.
Met productivity and accuracy standards established by CMS (Center for Medicare and Medicaid Services) and the customer.
Maintained the ability to read and process large amounts of information with extreme attention to detail, while interpreting pertinent information.
Consistently exceeded productivity and accuracy standards established by the customer, CMS, and CDAC with scores at or above 100% of the module average.
Volunteed and abstracted extremely large medical records received (5,000+ pages) without affecting my overall productivity rating in order to meet CMS deadlines.
Experience
2-5 Years
Level
Executive
Education
MS
Medical Records Abstractor Resume
Summary : Over 20 years of experience working in the medical field, including the front office duties in a medical office including checking patients in and out for appointments, scheduling appointments and collecting co-pays as needed. Experienced with direct patient care that includes taking vitals, reviewing their current medications and drug allergies.
Skills : Written And Oral Communication Customer Service Computer; Typing Speed 61 WPM Office.
Description :
Identified and compiled patient data from a range of relevant sources, including medical facilities and patients.
Arranged data collection as appropriate for the Adolescent Burgess Clinic and the Pediatric Special Immunology Clinic.
Obtained medical history, monitored patient care, assessed ongoing patient status and monitored treatment side effects.
Abstracted HIV-related data, including patient demographics, diagnostic procedures, history and extent of disease, anti-retroviral therapy, prophylactic treatment, follow-up, physician, and related information from medical records.
Coded data into Oracle Clinical database using ICD-9 book.
Furnished an accurate, monitored and thoroughly documented Oracle Clinical database to CRO and sponsor for study close out.
Tracked patient participation and filled in when needed to administer informed consent document information to potential participants.
Experience
10+ Years
Level
Senior
Education
MS
Medical Records Abstractor Resume
Objective : Accomplished and energetic Medical Records Abstractor with a solid history of achievement in the implementation of EMR/EHR software in Long Term Care facilities and training focusing on customer satisfaction. Motivated leader with strong organizational, communication and prioritization abilities. Areas of expertise include documentation of processes and creation of training materials, agendas, worksheets and training tutorials using Microsoft Office Suite and Articulate software.
Skills : MS Office, EMR/EHR LTC Software, Customer Service.
Description :
Abstracted data from hospital medical records to complete specialized information modules.
Regular on-going training and testing of the current material.
Read, reviewed and documented specifics from patient hospital medical records to identify client required information, including demographics, disease and procedure specific measures and medications Thorough knowledge of medical terminology Plan, prioritize, and execute multiple tasks in a fast paced environment.
Determined and negotiated the validity of abstracted data and question controversial information.
Consistently met or exceed productivity and accuracy standards.
Maintained a high level of confidentiality and integrity.
Adapted to frequent changes and revisions in processes and guidelines as client needs are re-evaluated.
Experience
2-5 Years
Level
Executive
Education
Associates In Education
Medical Records Abstractor Resume
Objective : Utilizing computer-based applications for study-related data collection, and also Ensuring adherence to various federal, state, and local regulatory requirements, such as the Health Insurance Portability and Accountability Act (HIPAA), etc.
Skills : Excellent Interpersonal, Excellent Communication, Excellent Telephone Etiquette, Multi-Tasking, Detailed Orientated, Medical Front Office, Medical Records, EMR Scanning, EPIC, Medical Terminology, Excel, Word, PowerPoint, 10- Key Data Entry, HIPPA Compliance.
Description :
Abstracted health information from patients' paper charts or electronic charts.
Entered abstracted data into standard data collection.
Worked with Physicians' staff to set abstraction appointments.
Pulled charts according to protocol and arrange for all necessary tools to conduct abstractions.
Aggregated summary data, track routine statistics, conduct analysis, and complete standard reports.
Provided patient and family support and education regarding protocol-related drugs and procedures as needed.
Reviewed data for completeness and accuracy and followed up with data sources as necessary.
Experience
2-5 Years
Level
Executive
Education
MS
Medical Records Abstractor Resume
Objective : Medical Records Abstractor with2 years of experience in Compiling highly complex medical information onto a computerized abstract, and also Preparing and coordinating assignments to meet data collection completion objectives.
Interviewed and titled as an employee eligible for the promotion.
Always maintained a professional and positive attitude, while encouraging co-workers to meet deadlines.
Relationship building to coordinate access to medical records.
Identified and gathered pertinent study data while maintaining strict HIPAA compliance.
Supported SIH HI department duties during staffing vacancies.
Completed special projects as assigned.
Concurrently reviewed medical records for required documentation.
Experience
2-5 Years
Level
Executive
Education
MS
Medical Records Abstractor Resume
Objective : Hard-working, reliable MBA student with proven leadership, investigative and organizational skills, looking to leverage years of experience in superior client service and support into a lifelong career with a company that appreciates the commitment to excellence.
Skills : Microsoft Office Applications, Client Relations, Management, Medical Terminology.
Description :
Protected the security of medical records to maintain confidentiality.
Reviewed records for completeness, accuracy, and compliance.
Entered data, such as demographic characteristics, history, and extent of disease, diagnostic procedures, or treatment into computer.
Maintained patients' medical records to document condition and treatment as well as to provide data for cost control and care improvement.
Resolved or clarified diagnoses with conflicting, missing, or unclear information by consulting with managing nurse or physician.
Used Research skills, writing skills, good communication skills, solid knowledge of medical terminology, and strong attention to detail.
Autonomous abstracting of medical records data.
Experience
2-5 Years
Level
Executive
Education
Master's In Business Administration
Medical Records Abstractor Resume
Objective : Proven record of facilitating support services and managing fast-paced office operations. A trusted consultant, liaison, and assistant with strong organizational, and communication skills and the ability to concurrently direct multiple business affairs. A multitude of versatile skills transfers into any administrative setting to create and maintain high levels of efficiency and productivity.
Skills : Medical Terminology, Medical Records, Medical Coding, Anatomy And Physiology, Medical Billing, Data Entry, Microsoft Office Suite.
Description :
Searched through medical records for pertinent information as required by The Centers for Medicare and Medicaid Services using data abstraction guidelines.
Continually maintained an accuracy score of at least 95% and a productivity score of at least 90%.
Abstracted hospital inpatient quality measures with a focus on SCIP (Surgical Care Improvement Project).
Abstracted multiple hospital outpatient quality measures such as ED-Throughput, Stroke, Pain Management, and Surgery.
Entered abstracted data into computer for quality and analytic purposes.
Protected the security of medical records to ensure that confidentiality was maintained.
Reviewed Medical Records and other source documents and collect clinical data according to specifications and guidelines provided by the customer.
Experience
2-5 Years
Level
Executive
Education
BS In Inpatient Medical Coding
Medical Records Abstractor Resume
Objective : Seeking a Medical Records Abstractor position with an outstanding career opportunity that will offer a rewarding work environment along with a winning team that will fully utilize management skills.
Skills : Excellent Customer Service, Proficient in Microsoft Office Suite, Work well with others and work well independently.
Description :
DAWN reported review medical records and identify DAWN cases by, abstracting demographic and substance use information and scanning.
Responsible for entering the information on the DAWN computer application.
Reported System (eHERS) and submits the data electronically.
Responsible for locating OTC's, adverse reactions, overmedications, and other conditional side effects related to medications.
Conducted documentation for FDA, Pharmaceutical, and, Government studies.
Experienced in medical terminology background.
Entered data from abstracted medical records into the Zika Active Pregnancy Surveillance System (ZAPSS) database, which is housed in a secured web application.
Experience
2-5 Years
Level
Junior
Education
Associate Of Science
Medical Records Abstractor Resume
Objective : Reviewing medical records and other source documents and collect clinical data according to specifications and guidelines provided by the customer. Data collected may include demographics, disease-specific data elements, and medications.
Skills : Salesforce, LivePerson, Customer Service, Microsoft Office, ShareKeeper, Talisma, Conflict Resolution, Multi-Line Phone System, Time Management, Excel, Communications, Adaptable.
Description :
Abstracted patient demographic diagnosis data.
Reviewed Data for completeness and accuracy.
Entered Data into a Web-based System each workday.
Accounted for the total number of visits, the number of charts reviewed, and the number of cases identified each day.
Maintained lists identifying patients seen in the emergency room each day at The Lorain Community Health Partners Hospital.
Accurately entered data in a cart or other abstraction software.
Followed all established processes and procedures.
Experience
2-5 Years
Level
Executive
Education
MS
Medical Records Abstractor Resume
Headline : Highly qualified Medical Records Abstractor with experience in the industry. Enjoy creative problem solving and getting exposure to multiple projects, and I would excel in the collaborative environment on which your company prides itself.
Accurately entered data in cart or other abstraction software.
Follow all established processes and procedures.
Followed-up with healthcare providers to secure missing documentation.
Logged/tracked all record results of accounts.
Partnered with Quality Management with issues and needs that impact core measures.
Independently reviewed, analyzed, and identified relevant medical diagnoses from inpatient notes, lab results, surgical reports, outpatient notes, and discharge summaries to identify COVID-19 specific information.
Applied data collection guidelines to each medical record reviewed and determine if the data meets eligibility requirements for inclusion in the COVID-19 dataset.
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