Ld Medical Records Abstractor, UPMC

Dr. Alison Hipwell co-directs the Pittsburgh Girls Study (PGS) in which a sample of 2,450 girls from the City of Pittsburgh has been followed annually for 20 years to track developmental patterns and contextual influences on health. Several current projects are focused on stress exposures and perinatal, metabolic, and cardiovascular health. This role will support the Pittsburgh site of the

NIH ECHO

(Environmental Influences on Child Health Outcomes) Study, a large-scale, longitudinal study of pregnant women and their offspring. The Ld Medical Records Abstractor will work alongside the Research Manager to request research participant health records from hospitals outside the UPMC system and abstract data from internal and external health records according to the established study protocols. This role will coordinate all aspects of the abstraction process, including development of training, research participant tracking, and quality control measures. This position is grant funded.

Responsibilities:

Demonstrate a service-oriented approach to position by conveying courtesy, respect, enthusiasm and a positive attitude in work situations, by showing initiative and offering assistance to other staff members and office personnel in the completion of the department's work, and make patient care and/or departmental service the first priority. Assist in the development of abstracting policies, procedures, system demonstrations and training materials. Interact directly with physicians and office staff to track these missing records and resolve data abstracting/data entry issues. Request health records from systems outside UPMC and perform a thorough review of the documentation within the outpatient medical record (eRecord and paper records) to enable accurate and active medication assignment and patient information into the study database (REDCap) by understanding disease processes and clinical interpretation of medications administered during outpatient visits and labor & delivery. Prepare weekly abstracting productivity statistics and present this information to the Research Manager on a weekly basis. Request records and complete abstraction within predefined timeframes. Actively train and assist clinic/physician office staff and other abstractors in regards to abstracting the essential patient medical data set into the study database (REDCap) Assist in training in orientation of new abstractors and provides appropriate feedback. Assist manager with performing quality assurance studies. Review completed abstracts on a daily basis for overall accuracy and reports any problems to the Research Manager. Work directly with abstractors to answer questions to assist them in their abstracting efforts ensuring data integrity in the study database (REDCap). Attend eRecord training classes and study-specific trainings as assigned by management. Coordinate missing chart report for abstracting purposes for follow up to obtain records that were initially unavailable. Interact with the national ECHO consortium study staff to resolve data queries related to medical record abstraction and obtain protocol clarifications as needed.