Patient Records Abstractor- Remote - 128833

Job Description

UCSD Layoff from Career Appointment: Apply by 3/29/2024 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.

Special Selection Applicants: Apply by 4/10/2024. Eligible Special Selection clients should contact their Disability Counselor for assistance.

Candidates hired into this position may have the ability to work remotely.


The Department of Pediatrics is one of the largest departments within the School of Medicine with approximately 171 Faculty, 60 post-doctoral fellows (both MDs and PhDs) along with over 300 support staff (not including hospital staff). In addition, the Department has 57 clinical residents and fellows distributed across the Divisions. The missions of research, education and patient care are intertwined, and are integral to the goals of the department. The Department has undergone significant growth in recent years with a consolidated budget of approximately $106 million including sponsored projects expenditures of approximately $54 million and clinical revenue of over $ 52 million. This expansion of the Department's research and clinical portfolio is expected to continue in the next few years.

The Department's 18 divisions include Academic General Pediatrics, Child Development & Community Health; Allergy, Immunology and Rheumatology; Cardiology; Dermatology; Dysmorphology/Teratology; Emergency Medicine; Endocrinology; Gastroenterology; Genetics; Genome Information Sciences; Hospital Medicine; Infectious Diseases; Neonatology; Nephrology; Pharmacology & Drug Discovery; Rehabilitation Medicine; and Respiratory Medicine.

In 2001, physicians and leadership of the University of California, San Diego (UCSD), Rady Children's, and Children's Specialists of San Diego (CSSD) unified pediatric patient care, research, education and community service programs, creating a university-affiliated children's health system to serve the region. Over the past two decades, an extensive list of joint programs has developed, with many physicians and researchers playing a role at both institutions. This affiliation has consolidated the clinical, teaching, research and public service programs of the UCSD School of Medicine's Department of Pediatrics with San Diego's only health care system dedicated to the health and well-being of children. In 2009, this partnership was furthered by the creation of Rady Children's Specialists of San Diego, a Medical Foundation, and is now recognized as having global leaders in research, technology, translational medicine, education and clinical excellence.

The Division of Dysmorphology/Teratology is involved in three major areas encompassed under the umbrella of the Center for the Promotion of Maternal Health and Infant Development. These areas include: 1. A very active clinical service in San Diego County and the Tijuana region of Mexico; 2. A local, national and international research program focused on a better understanding of environmental exposures as they relate to adverse pregnancy outcomes and developmental disabilities, and the etiology and prevention of birth defects; and 3. A teaching program that includes undergraduate students, graduate students in epidemiology, medical students, and postdoctoral students in pediatrics, epidemiology, health behavior, global health, pharmacy, and other specialties.

In collaboration with the California Department of Public Health (CDPH), the Division of Dysmorphology/Teratology will oversee the ongoing surveillance activities of the California Birth Defects Monitoring Program (CBDMP). The mission of CBDMP is to collect and analyze data in order to identify opportunities for preventing birth defects and improving the health of babies. Birth defects are the leading cause of infant mortality in California and the nation. CBDMP has gathered birth outcomes data for twenty-five years and provides a controlled-access Registry that links CBDMP birth defects information to vital statistics data.

Under the direction of the Program Manager, the Patient Record Abstractor shall find all potential cases of children with birth defects from hospitals and laboratories within and bordering assigned registry counties. The Patient Record Abstractor will identify potentially reportable cases by a review of electronic hospital reports from each facility and request the medical records. The Patient Record Abstractor will review and abstract data from electronic medical records to be uploaded to the CBDMP registry. Provides requested data needed for special epidemiological studies as required.

  • Extensive theoretical knowledge in human anatomy and biology, disease process and medical terminology typically obtained at the collegiate level. Experience in a health information field (coder, abstractor) which requires regular use of medical terminology. RHIT, CTR, CCS certification or AA degree in Health Information or Health related field (i.e. Nursing, Radiologic Technology) may be substituted for required experience; or an equivalent combination of education and experience.

  • Familiarity with types and manifestations of birth defects.

  • Familiarity with the International Classification of Diseases, 10th Revision diagnostic codes.

  • Knowledge and ability to determine the presence of birth defect(s) by reviewing electronic hospital data and medical records in order to abstract data.

  • Must at all times, maintain and respect confidentiality of sensitive data, files, etc. Follow HIPAA rules and other data confidentiality policies and procedures.

  • Solid computer skills using MS Word, Excel, PowerPoint, Outlook, and a variety of web-based programs to perform standard computer tasks, learn new programs/applications with minimal direction, and exercise fast and accurate typing skills.

  • Maintain equipment, materials and space assigned for the purpose of completing job-related tasks (laptop, etc.).

  • Must have strong attention to detail and excellent organizational skills.

  • Ability to perform duties with limited supervision.

  • Ability to organize and prioritize a large volume of work and to adapt to changing priorities.

  • Excellent written and oral communication skills.

  • Five (5) years experience in a hospital environment.

  • Three (3) years of direct experience abstracting hospital medical records and/or hospital coding.

  • Coding credential or AA in health-related field.

  • Five (5) years of demonstrated experience using Microsoft Office tools.

  • Employment is subject to a criminal background check.

  • Occasional evenings and weekends may be required.

  • Position is 100% remote, located in California.

Pay Transparency Act

Annual Full Pay Range: $71,577 - $88,928 (will be prorated if the appointment percentage is less than 100%)

Hourly Equivalent: $34.28 - $42.59

Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).

UC San Diego Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity or sexual orientation. For the complete University of California nondiscrimination and affirmative action policy see: http://www-hr.ucsd.edu/saa/nondiscr.html


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