Data Abstractor II per-diem

Essential Functions

• Evaluates the adequacy of medical record documentation in relation to regulatory requirements.
  • Notifies Quality Management Team of significant, recurring missing or suboptimal documentation.
• Maintains the confidentiality of all patient information and reports generated.
  • Limits discussion of patient information or reported data to individuals with a need to know.
  • Limits discussion of data adequacy issues to appropriate staff.
  • Conducts above discussion in areas appropriate to maintaining confidentiality.
• Works in a collaborative manner with patient care unit staff to ensure reliable and consistent information is provided to patients.
  • Informs clinical care givers of needed interventions or documentation in a collaborative manner.
  • Assists clinical care givers in understanding the need for selected interventions or documentation.
• Creates compliance data reports as scheduled or requested.
  • Provides other reports as results warrant or as requested.
• Safety Awareness – Fosters a “Culture of Safety” through personal ownership and commitment to a safe environment.
  • Understands the JCAHO National Patient Safety Goals and their impact on role.
  • Demonstrates knowledge of organizational safety priorities and their department specific application.
  • Understands methods of reporting safety concerns and improvement opportunities.
  • Understands role/responsibility during hospital “Codes.”
  • Knows where to find pertinent material safety data sheets (MSDS).
  • Successfully answers safety questions in annual mandatory education program.

Technology and Learning

• Participates in continued learning and possesses a willingness and ability to learn and utilize new technology and procedures that continue to develop in their role and throughout the organization.
• Embraces technological advances that allow us to communicate information effectively and efficiently based on role.

Non-Essential Functions

• Other duties as required.