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Medical Abstractor

Mass General Brigham (Enterprise Services)
United States, Massachusetts, Somerville
121 Inner Belt (Show on map)
Feb 12, 2025
Responsible for reviewing and abstracting medical records to fulfill requests for health information. They ensure adherence to privacy regulations, organizational policies, and industry best practices while maintaining the integrity and confidentiality of patient information.
Essential Functions: Review and verify incoming requests for medical information, including subpoenas, patient authorization forms, and other legal documents.
-Confirm the validity and scope of the requests, ensuring compliance with HIPAA (Health Insurance Portability and Accountability Act) and other applicable privacy regulations.
-Collaborate with requesters and internal stakeholders to clarify and validate the nature and purpose of the requests.
-Abstract and compile relevant medical information from patient records, ensuring accuracy, completeness, and adherence to request requirements.
-Utilize knowledge of medical terminology and health record documentation to extract relevant data and information.
-Identify and redact sensitive or confidential information in accordance with privacy guidelines and legal requirements.

Education
High School Diploma or Equivalent required and Bachelor's Degree Health Information Management preferred

Can this role accept experience in lieu of a degree?
No

Licenses and Credentials

Experience
Experience in health information management, release of information, or medical record abstraction within a healthcare setting. 2-3 years required

Knowledge, Skills and Abilities
- Solid knowledge of HIPAA regulations, state privacy laws, and other applicable privacy regulations.
- Familiarity with medical terminology, health record documentation, and release of information processes.
- Strong attention to detail and accuracy in data abstraction and documentation.
- Excellent communication and interpersonal skills to effectively communicate with requesters, patients, and internal stakeholders.
- Proficiency in using electronic health record (EHR) systems, health information exchange (HIE) platforms, and related software applications.
- Ability to work independently and collaboratively within a team-based environment.

Physical Requirements

  • Standing Occasionally (3-33%)
  • Walking Occasionally (3-33%)
  • Sitting Constantly (67-100%)
  • Lifting Occasionally (3-33%) 20lbs - 35lbs
  • Carrying Occasionally (3-33%) 20lbs - 35lbs
  • Pushing Rarely (Less than 2%)
  • Pulling Rarely (Less than 2%)
  • Climbing Rarely (Less than 2%)
  • Balancing Occasionally (3-33%)
  • Stooping Occasionally (3-33%)
  • Kneeling Rarely (Less than 2%)
  • Crouching Rarely (Less than 2%)
  • Crawling Rarely (Less than 2%)
  • Reaching Occasionally (3-33%)
  • Gross Manipulation (Handling) Constantly (67-100%)
  • Fine Manipulation (Fingering) Frequently (34-66%)
  • Feeling Constantly (67-100%)
  • Foot Use Rarely (Less than 2%)
  • Vision - Far Constantly (67-100%)
  • Vision - Near Constantly (67-100%)
  • Talking Constantly (67-100%)
  • Hearing Constantly (67-100%)


Mass General Brigham Incorporated is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
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