Cancer Registry abstractor IV - 100% Remote
- UCLA Health and David Geffen School of Medicine
- Los Angeles, CA, USA
Job Description
The Patient Record Abstractor IV is responsible for accurately abstracting and coding clinical information from cancer patient medical records in accordance with the standards of the California Cancer Registry (CCR), SEER Program, California Cancer Surveillance Program (CSP), UCLA Cancer Registry, and the Commission on Cancer.
This position supports UCLA Health’s commitment to data integrity, regulatory compliance, and cancer surveillance, contributing to improved patient outcomes, research, and public health reporting.
Key Responsibilities
Cancer Data Abstraction & Coding
- Abstract and code clinical and pathological data from medical records using CCR, SEER, CSP, and Commission on Cancer guidelines
- Assign ICD-O codes, accession/sequence numbers, and ensure accurate data entry into the cancer registry database
Staging & Classification
- Determine and assign appropriate:
- SEER Summary Stage
- TNM staging for analytic cases
- Extent of Disease (EOD)
Medical Record Review
- Review and analyze patient information in the electronic medical record (CareConnect) and paper charts as needed
- Validate clinical documentation to ensure completeness and accuracy of abstracted data
Treatment & Case Completion
- Abstract all required treatment information to ensure complete and timely case reporting
- Ensure all reportable cases are finalized in compliance with registry standards
Quality & Productivity
- Maintain a high level of accuracy (≤3% error rate) in accordance with CCR standards
- Meet or exceed established productivity benchmarks
- ODS certification required
- 5+ years abstracting experience
- Experience using CNEXT, EPIC, and MS Office software (Constant)
- Experience using computer equipment (Constant)
- Experience using internet to locate sites and information needed for cancer reporting (Constant)
- Must meet productivity standards and State quality standards
- Detailed knowledge of the American College of Surgeon standards, California Cancer Registry and SEER standards.
- Detailed knowledge of medical terminology, anatomy, pathology, and disease processes.
- Detailed knowledge of ICD-0 coding classification scheme
- Ability to abstract clinical information from patient records and code data accurately into Cancer Registry database and follow-up if additional information is needed.
- Excellent organizational skills in maintaining Cancer Data files.
- Skill in prioritizing and performing a variety of duties within a system that has constantly changing priorities, assignments, and deadlines.
- Detailed knowledge of laws, rules and regulations affecting the confidentiality of medical information.
- Skill in working independently and following through on assignments in an environment with frequent interruptions.
- Skill in writing legibly and in using basic English words to complete concise documentation.
- Knowledge and understanding of functions and activities of various hospital departments contacted for source information to expeditiously coordinate follow up procedures.
- Ability to work independently and exercise appropriate decisions in determining follow up actions and complete assignments in a timely manner.
- Ability to judge system/procedure malfunction/discrepancies and circumstances to be referred to supervisor for immediate action.
- Strong oral and written communication skills for the purposes of conveying information to individuals at various organizational levels and the general public and in completing concise documentation.
- Advanced MS Office skills
A PASSION FOR IMPROVING LIVES
Advance your career and experience true inspiration as you collaborate with an exceptional team of top clinicians. As an allied health professional at UCLA Health, you’ll enjoy ongoing opportunities for learning and development so you can continually enhance your skills while positively impacting our world-class patient care. Within our inclusive and supportive culture, you’ll take on unique, high-acuity cases for one of the most vibrant and diverse communities in the world. It’s the chance to bring your best to a variety of highly challenging situations.
If you’re ready to live out your passion and advance your clinical career, we invite you to explore opportunities throughout our system of award-winning hospitals and more than 280 community-based clinics throughout Southern California. We have openings in these areas:
● Clinical Lab & Pathology
● Imaging
● Pharmacy
● Phlebotomy
● Rehab
● Respiratory Therapy
● Social Work
No matter where you serve with UCLA Health, the cultural, recreational, and lifestyle advantages of our Southern California locations will elevate your standard of living.