Summary

Under supervision, reviews, identifies and abstracts specific patient information from a range of sources, including various medical record systems into specialized software. Code information and enter into a database with supportive narrative information, according to prescribed protocols. Maintain and correct data for accuracy and completeness.

Duties and Responsibilities

1. Review various reports, death certificates, disease indices, radiation oncology treatment records, radiologic diagnoses, or physician logs to identify possible cancer cases.
2. Abstract data into specialized software with supporting narrative information for, patient demographics, diagnostic procedures, history and extent of disease, treatments, outcomes, follow-up data, physicians, and related information from various medical records in accordance with ACoS COC requirements.
3. Assign appropriate codes for treatments, procedures and diagnoses according to coding requirements, classification systems and standard-setters.
4. Abstract data for the American Society of Clinical Oncology's Quality Oncology Practice Initiative (ASCO's QOPI).
5. Participate in the ACOS COC Rapid Quality Reporting System (RQRS), a real-time collection program to assess hospital-level performance using quality of cancer care measures.
6. Perform life-time follow-up on the patient's health, vital status, treatment and progression of disease to provide cancer incidence, treatment and outcome information to appropriate data bases, for quality improvement activities, administrative planning and marketing, and support programs.
7. Review data for completeness and accuracy, pursuing additional information from data sources as necessary; updates/corrects data as needed.
8. Request cases, prepare cases, create lists, and distribute needed documentation to various departments for various Cancer Conferences; work closely with Pathology, Radiology, other physicians and various departments to ensure needed patient studies are available in a timely manner for Conferences; and attends and monitors Conferences. Submit request for room reservation. Submit IT ticket for request of AV equipment. Keep attendance log.
9. Act as a liaison to outside organizations and associations.
10. Perform a variety of administrative duties including but not limited to: answering phones; faxing; scanning, destroying confidential documents; and utilizing internet services and e-mail systems.
11. Maintain security and confidentiality of medical records and protected health information (PHI).
12. Performs miscellaneous job-related duties as assigned.

Minimum Job Requirements

• High school diploma or GED; at least 2 years of experience directly related to the duties and responsibilities specified.
• Registered Health Information Administrator (RHIA) OR Registered Health Information Technology (RHIT) OR Associates degree in any field with two college level semesters of Human Anatomy and/or Physiology.

Knowledge, Skills and Abilities Required

• Knowledge of human anatomy, medical terminology and statistics.
• Ability to understand, analyze and interpret medical, surgical, forensic, and treatment information and terminology.
• Knowledge of patient medical records, patient histories and treatment modalities.
• Knowledge of medical data collection codes and techniques.
• Ability to verify data input and correct errors.
• Ability to gather data, compile information, and prepare reports.
• Internet skills, strong computer and word processing data entry skills.
• Ability to work effectively within role independently and with other team members.
• Educated with HIPAA regulations; maintains strict confidentiality of patient information.

Conditions of Employment

• All regular, non-temporary positions assigned to this classification are represented by a labor union and subject to the terms and conditions of the CWA Collective Bargaining Agreement.
• Must successfully obtain National Cancer Registrars Association (NCRA) national certification as a Certified Tumor Registrar (CTR) within the first three (3) years of employment.
• Employees who provide services or work in patient care or clinical areas are required to be in compliance with the University's influenza vaccination requirement.

Working Conditions and Physical Effort

• No or very limited physical effort required.
• No or very limited exposure to physical risk.
• Work is normally performed in a typical interior/office work environment.

The University of New Mexico provides all training required by OSHA to ensure employee safety.

Revised Date: 05/02/2021