Job Detail

RN - Clinical Data Abstractor

RN - Clinical Data Abstractor

SSM Health

Saint Louis, MO

Job ID : 374f2f715630782f6d5142782f74473446673d3d

Job Description :

It's more than a career, it's a calling. MO-SSM Health Saint Louis University West Pavilion

Worker Type: Regular

Job Summary: Collaborates with physicians and the electronic health record (EHR) optimization team to identify what clinical information needs to be abstracted or analyzed and then abstracts the clinical information from multiple records and appropriately enters into the EHR database.

Job Responsibilities and Requirements:
PRIMARY RESPONSIBILITIES
Interacts with physicians and nursing staff in the process of departmental abstraction of their patients’ medical information. Obtain required records from referring physicians and primary care providers.
Abstracts appropriate clinical information from outside medical records and inputs into the EHR database for Best Care/Best Results.
Reviews outside records for information vital to specific referral, focusing on medical history, surgical history, allergies and medications. Inputs abstracted data into appropriate defined areas of EHR.
Ensures data is abstracted within established timeframes to ensure continual flow of information and increase efficiency of office visits facilitating patient entry into specialty services.
Applies evidenced based practices to achieve multidisciplinary collaboration and to facilitate continuity of care.
Contributes to the overall satisfaction of the department by actively participating in department functions and offering assistance to others as needed.
Works in a constant state of alertness and safe manner.
Performs other duties as assigned.

EDUCATION
Graduate of accredited school of nursing

EXPERIENCE
Two years' registered nurse experience

PHYSICAL REQUIREMENTS
Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
Frequent keyboard use/data entry.
Occasional bending, stooping, kneeling, squatting, twisting and gripping.
Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
Rare climbing.

Licenses / Certifications: Registered Nurse (RN) - State of Work Location or Compact Multi-State License

Work Shift: Day Shift (United States of America)

Job Type: Employee

Department: 4840000037 Abdominal Transplant

Scheduled Weekly Hours: 40

SSM Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex.

Learn more here

Company Details :

Name : SSM Health

CEO : Laura Kaiser

Headquarter : Saint Louis, MO

Revenue : $1 to $5 billion (USD)

Size : 10000+ Employees

Type : Nonprofit Organization

Primary Industry : Health Care Services & Hospitals

Sector Name : Healthcare

Year Founded : 1874

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Details

: Saint Louis, MO

: 146 days ago

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