HIM Abstractor

For more than 55 years, Family Health Centers of San Diego’s (FHCSD) mission has been to provide caring, affordable, high-quality health care and supportive services to everyone, with a special commitment to uninsured, low-income and medically underserved persons.

FHCSD is one of the top 10 largest federally qualified health centers (FQHCs) in the country. We operate more than 90 sites across San Diego County, including 29 primary care clinics, 23 behavioral health facilities, 10 physical rehabilitation clinics, nine dental clinics, five vision clinics, four outpatient substance use treatment programs, three mobile medical units, two mobile counseling centers, two urgent care centers, and a pharmacy.

Our staff provides care to over 227,000 patients each year, of whom 91% are low-income and 29% are uninsured. FHCSD provides care to all. Services include, but are not limited to adult care, chronic disease management, pediatrics, comprehensive women’s care including obstetrics, dental, vision, case management, physical rehabilitation, speech therapy for children, vaccinations, infectious diseases, behavioral health, substance use counseling and a host of specialty services including cardiology, podiatry, endocrinology, dermatology, among others.  FHCSD also offers supportive services to those who are unsheltered and in need of intensive case management.   

The breadth of our clinic locations, services and programs has grown over the last five decades, making us the largest community clinic provider of health care to the uninsured in the county and one of the top 10 largest community clinic organizations in the nation. We are also the largest health care safety-net provider, largest school-based health care provider and the largest mental health provider in the San Diego region.

General Job Description

*Under the direction of the HIM Manager, and in conjunction with the CIO, the HIM Abstractor is responsible for a variety of operational tasks and duties that supports the agency and its Health Information Management (HIM) Department. The HIM Abstractor supports HIM activities around record/chart analysis, data abstraction and targeted clinical quality measurement efforts.

Education/Certifications/Licenses/Registrations

*Candidates must be proficient with databases and with conduction 80% of the work activities on the computer.

*Experience with an Electronic Health Record (EHR) system strongly recommended.

*Knowledge of SNOMED CT, ICD-9/10-CM, CPT, and HCPCS coding conventions a plus.

*RHIA or RHIT certification preferred.

Experience/Specialized skills (including Language)

*Able to work in a team environment and to make sound decisions.

*At least 2 years of experience in Medical Records or HIM operations highly desired.

*Bilingual English/Spanish Desirable.

*Excellent interpersonal skills and ability to work effectively in team environment.

*Experience in managing, planning, organizing and prioritizing preferred.

*Must possess good written and verbal communication skills.

Physical Requirements/Working Environment

0-10 lbs: FREQUENTLY (3 - 6 HOURS (Lifting & Carrying: Height 45" - Distance 15')

100+ lbs: NEVER (0-1 Hours) Lifting & Carrying

11-25 lbs: NEVER (0-1 Hours) Lifting & Carrying

26-50 lbs: NEVER (0-1 Hours) Lifting & Carrying

51-75 lbs: NEVER (0-1 Hours) Lifting & Carrying

76-100 lbs: NEVER (0-1 Hours) Lifting & Carrying

Bending (neck): OCCASIONALLY (UP TO 3 HOURS)

Bending (waist): OCCASIONALLY (UP TO 3 HOURS)

Climbing: RARELY (0 – 1 hours)

Fine Manipulation: OCCASIONALLY (UP TO 3 HOURS)

Is Repetitive use of hand required: FREQUENTLY (3 - 6 HOURS

Kneeling: RARELY (0 – 1 hours)

Power Grasping: RARELY (0 – 1 hours)

Pushing & Pulling: OCCASIONALLY (UP TO 3 HOURS)

Reaching (above shoulder level): OCCASIONALLY (UP TO 3 HOURS)

Reaching (below shoulder level): OCCASIONALLY (UP TO 3 HOURS)

Simple Grasping: FREQUENTLY (3 - 6 HOURS

Sitting: FREQUENTLY (3 - 6 HOURS

Squatting: OCCASIONALLY (UP TO 3 HOURS)

Standing: OCCASIONALLY (UP TO 3 HOURS)

Twisting: RARELY (0 – 1 hours)

Walking: OCCASIONALLY (UP TO 3 HOURS)

Working around equipment and machinery: Computer, Printer, Photocopier, telephone, Paper shredder, fax

Ages of Patients Served: All Ages

Job Roles

*Ability to produce accurate and precise work.

*Assists in the design and implementation of FHCSD’s HIM training modules for all HIM duties--document management (scanning, uploading, labeling), PHI correspondence activities, record/chart analysis, data abstraction, targeted QA/QC activities and archive management.

*Communicates additional pursuit strategies for additional medical records, if needed, to other members of the team.

*Communicates significant findings, including potential risk management issues, to the Clinical Quality or Utilization in a timely manner.

*Demonstrated command of medical terminology, medical record documentation, and clinical processes.

*Integrates data collected from a variety of electronic and paper sources.

*Maintains written documentation of gaps in documentation identified during medical record reviews to be used in the education of practice locations about areas for improvement.

*Reviews assigned medical records in order to abstract clinical data elements for clinical quality measurement reporting, e.g. results of laboratory tests, verification of hypertension and the most recent blood pressure reading, prenatal and postpartum care services, etc.

*Strong time management skills.

*Works closely with the entire HIM management team to identify process issues related to E-HR and HIM work flow and offers recommendations for resolutions or modifications particularly as it relates to the paper/electronic interface and the daily work flow.

We are excited to share that the salary range for this position is:

Information on our extensive benefits package can be found here: FHCSD Wellness – Employee Hub (gobenefits.net)

FHCSD provides Equal Employment Opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, transfer, leave of absence, compensation, and training.