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

Salary Range: $41.7 - $55.03 hourly

Qualifications

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

Create a Job Match for Similar Jobs

About UCLA

At UCLA Health, you can help heal humankind, one patient at a time by improving health, alleviating suffering and delivering acts of kindness. As you do, you’ll achieve great things in your life and your career. We’re a world-class health organization with four hospitals consistently recognized among the nation’s very best as well as an internationally-renowned medical school, primary and specialty care clinics and much more. Within our dynamic, innovative and growing organization, you’ll find exceptional opportunities to make the most of your abilities in a supportive, empowering and inclusive environment. If you embrace our values of Integrity, Compassion, Respect, Teamwork, Excellence and Discovery we invite you to see all you can accomplish at UCLA Health.

Connections working at UCLA

More Jobs from This Employer

https://jobs.mhanet.com/jobs/22277277/cancer-registry-abstractor-iv-100-x25-remote

Captcha / Bot check:

Key Responsibilities

Error