Cape Cod Healthcare

Role Description - Abstract all reportable diagnoses of cancer utilizing both internal and external sources contained in electronic and paper medical records. - Maintain all Commission on Cancer data standards and coding instructions contained in the American College of Surgeons' standards for cancer data collection and reporting. - Maintain abstracting and case reporting to both the Massachusetts Cancer Registry and National Cancer Data Base at acceptable levels, i.e. within 6 months or less of date of diagnosis. - Collaborate with Cancer Committee and Performance Improvement department to assure that a minimum of 2 studies, one of which includes survival and 2 enhancements per year are completed and presented for analysis. Assist physicians and staff with any other quality assurance activities required by any regulatory agencies i.e. JCAHO, DPH, MCR. - Complete and maintain yearly follow-up data for all analytic patients. - Respond to all correspondence requests for cancer information from internal and external sources in accordance with professional ethics. - Plan, schedule and coordinate weekly Cancer Case Conferences, including Breast, General, GYN and/or Genitourinary Cancer Case Conferences as directed by the Cancer Committee. Monthly Grand Rounds Presentations and quarterly Cancer Committee meetings. These duties include, but are not limited to identifying cases, summarizing pertinent details of individual cases and assembling required materials for each meeting. Schedule meeting rooms, order refreshments, disseminate information to all participants including outside consultants and speakers. Maintain accurate records of attendance, minutes and recommendations from each session. - Prepare an annual report of the previous year's Cancer Program activities which complies with the standards of the American College of Surgeons. - Collaborate with the Registry Physician Advisor to assure a minimum of 10%25 of the current caseload is reviewed on a yearly basis including re-abstracting cases. - Work with all members of the Cancer Committee to establish, document and maintain a high quality of patient care. - Attend yearly continuing education sessions. - Perform other work related duties as assigned or requested. Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects Cape Cod Hospital’s commitment to CARES: compassion, accountability, respect, excellence and service. Qualifications - Ability to read, write and communicate in English. - Keyboarding at 40 words per minute as demonstrated by a timed test. - Successful passage of a Medical Terminology course or successful passage Medical Terminology challenge exam. - 1 year experience as a coder/abstractor (inpatient or outpatient) OR 3 years experience as a Cancer Center Secretary/Receptionist, Transcriptionist, or Pathology Systems Assistant. - 1 year of experience utilizing Microsoft Office applications including Word and Excel. - Must meet one of the 3 requirements listed below: - Associates Degree in Cancer Registry Management (CRM) or Cancer Information Management (CIM) from an NCRA accredited program. - Associates Degree in any field or the equivalent (60 college level credits) AND successful completion of a certificate in CRM or CIM from an accredited NCRA accredited program. - Associates Degree in any field or the equivalent (60 college level credits) AND 2 semesters of Human Anatomy and Human Physiology. Requirements - Traineeship: Upon completion of a 12 month Tumor Registrar traineeship incumbent will advance to the Grade S14/Job Code 6020. - Grade S14/Job Code 6020 – Tumor Registrar: - Ability to read, write and communicate in English. - Must meet one of the requirements listed below: - All requirements of Grade S13 job code 9807 – Tumor Registrar Trainee. - 2 years experience as a Tumor Registrar. - Must become Certified Tumor Registrar (CTR) within 2 years of taking position. - Grade S15/Job Code 9165 – Certified Tumor Registrar: - All requirements of Grade S14 job code 6020 position. - Certified Tumor Registrar (CTR) and must maintain certification.

- Actively practices customer service by displaying flexibility, team spirit, open communication, effective listening, respect, honesty, courtesy, and accountability when dealing with all external and internal customers. - Maintains confidentiality, integrity and ethics in work performance and relationships. - Displays a team approach by communicating with others, integrating and accepting ideas and accepting and offering help to others. - Using skills outlined in Requirements section: - Write interpretive clinical reports relevant to the patients’ care and/or clinical operations. - Work with the clinical IT group to design and modify queries and/or reports to the support the Clinical IT team as well as supporting clinical departments, both for ad-hoc and automated/scheduled reporting. - Utilize the database software and structure of the key clinical application, which may be but not limited to Sybase, SQL, MS Access, etc. - Analyze which report writer software is compatible with each application, so that the completed reports can be imbedded to the users’ front-end application for on-demand reports. - Ensure an efficient and reliable environment through SQL standard, as well as custom monitoring processes; thus being proactive in identifying potential problems with automated processes and solutions. - Expand or modify business intelligence and analytics system to serve new purposes or improve work flow. - Provide Help Desk Services with documentation on any trouble shooting issues (access, accuracy, efficiency and functionality) that end users may encounter with running reports, to minimize calls to the on-call support staff. - Retain documentation on all report requests, specifications, version history, and supply duplicate reports in both production and test where possible. - Use the computer in the analysis and solution of Healthcare Organization’s business problems, such as development of integrated production and inventory control and cost analysis systems. - Collaborate with clinical team, Clinical managers and Senior Clinical Managers to prioritize reporting requests according to the data governance principles of CCHC. - Install new versions of report writing software as needed to insure effective support and operations of the application/database environment. - Performs other analytics related work duties as assigned. - Test, maintain, and monitor computer programs and systems, including coordinating the installation of computer programs and systems. - Assess the usefulness of pre-developed application packages and adapt them to a user environment. - Consult with management to ensure agreement on system principles like service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects Cape Cod Healthcare’s commitment to CARES: compassion, accountability, respect, excellence and service. - Confer with clients on the nature of their current information processing or computation needs as they relate to the requested report/program. - Challenges current working practices to; identify process improvement opportunities and presents recommendations and solutions to management. REQUIREMENTS: (EDUCATION/EXPERIENCE/TRAINING/SKILLS) - 3+ years of experience in working with MSSQL Server - 3+ years developing SQL Queries using Microsoft SQL Server 2016 and above. - 3+ years of experience designing, writing, maintaining Epic Analytics reports, dashboards and metrics. - 3+ years of experience designing, writing, maintaining Microsoft SQL Server stored procedures. - Current Epic Cogito Analytics certifications. - Caboodle Data Model - One or more subject matter Clarity Data Model - Cogito - SlicerDicer preferred - Ability to use complex expressions to calculate, group, filter, parameterize, optimize and format custom reports - Work effectively with all members of a clinical & technical project teams - Demonstrated project estimation experience - Strong verbal, written and interpersonal communication skills - Excellent organizational and project management skills, including ability to organize time and work on multiple tasks and follow through to completion of task or project. - Excellent analytical and problem-solving skills, including high degree of attention to detail and accurate processes. - Self-motivated to be able to work independently and with a team. - Bachelor's degree (B.S. or B.A.) from an accredited four-year college or university, or equivalent combination of education and experience.

1. Analyzes, sequences and validates assigned codes based on medical record documentation using the automated encoder, book and coding compliance resources. 2. Demonstrates complete understanding of coding rules, anatomy, physiology, and medical terminology to appropriately code patient information. 3. Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers, to ensure appropriate coding for case mix. 4. Selects the appropriate reimbursement grouper based on financial class for the particular account. 5. Ensures that coding compliance, regulatory and reimbursement requirements are met through the process of assigning reimbursement classifications. 6. Abstracts and enters diagnosis, procedures and level codes with demographic, clinical and related patient information into the Medical Record Abstracting and/or Billing/Accounts Receivable systems. 7. Assess adequacy of documentation and queries physicians and other healthcare providers to obtain additional medical record documentation or to clarify documentation to ensure accurate and appropriate coding and grouping. 8. Reconciles, identifies and retrieves medical records to be coded, grouped and abstracted in accordance with departmental procedures. 9. Maintains a 95%25 ongoing accuracy rate based on Medical Record Department performance monitors and third party validation audits. 10. Consistently achieves weekly coding output within the minimal productivity standards set by HIS. Self-manages and prioritizes work flow to achieve timely submission of claims and optimal productivity.11. Maintains accurate productivity logs and provides this information to the Coding Manager in a timely fashion.12. Assists in the orientation and development of new coding personnel.13. Assumes professional responsibility for development of skills and ongoing education to maintain certification. 14. Remains abreast of developments in health information management by pursuing a program of professional development, attending educational programs and meetings and reviewing pertinent literature.15. Continuously monitors medical record documentation, 3M coding system, Soarian Financials system, SSI claim scrubber system, individual performance and department workflow as related to the coding function to identify problems and potential solutions (especially related to errors and compliance issues). Communicates with the Coding Manager to find solutions and implement changes to increase productivity and department efficiency. 16. Performs all duties and interacts with others in accordance with the Hospital's Customer Service standards. 17. Perform other work related duties as assigned or requested. Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects Cape Cod Hospital’s commitment to CARES: compassion, accountability, respect, excellence and service. Grade S15/Job Code 9164 · Ability to read, write and communicate in English · Current CCS (AHIMA Certified Coding Specialist) · 6 months of PC windows experience. · 6 months of inpatient coding experience. · Successful passage of Medical Record Department Inpatient Coding exam with a grade of 80%25 or better.

1. Analyzes, sequences and validates assigned codes based on medical record documentation using the automated encoder, book and coding compliance resources. 2. Demonstrates complete understanding of coding rules, anatomy, physiology, and medical terminology to appropriately code patient information. 3. Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers, to ensure appropriate coding for case mix. 4. Selects the appropriate reimbursement grouper based on financial class for the particular account. 5. Ensures that coding compliance, regulatory and reimbursement requirements are met through the process of assigning reimbursement classifications. 6. Abstracts and enters diagnosis, procedures and level codes with demographic, clinical and related patient information into the Medical Record Abstracting and/or Billing/Accounts Receivable systems. 7. Assess adequacy of documentation and queries physicians and other healthcare providers to obtain additional medical record documentation or to clarify documentation to ensure accurate and appropriate coding and grouping. 8. Reconciles, identifies and retrieves medical records to be coded, grouped and abstracted in accordance with departmental procedures. 9. Maintains a 95%25 ongoing accuracy rate based on Medical Record Department performance monitors and third party validation audits. 10. Consistently achieves weekly coding output within the minimal productivity standards set by HIS. Self-manages and prioritizes work flow to achieve timely submission of claims and optimal productivity.11. Maintains accurate productivity logs and provides this information to the Coding Manager in a timely fashion.12. Assists in the orientation and development of new coding personnel.13. Assumes professional responsibility for development of skills and ongoing education to maintain certification. 14. Remains abreast of developments in health information management by pursuing a program of professional development, attending educational programs and meetings and reviewing pertinent literature.15. Continuously monitors medical record documentation, 3M coding system, Soarian Financials system, SSI claim scrubber system, individual performance and department workflow as related to the coding function to identify problems and potential solutions (especially related to errors and compliance issues). Communicates with the Coding Manager to find solutions and implement changes to increase productivity and department efficiency. 16. Performs all duties and interacts with others in accordance with the Hospital's Customer Service standards. 17. Perform other work related duties as assigned or requested. Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects Cape Cod Hospital’s commitment to CARES: compassion, accountability, respect, excellence and service. Grade S15/Job Code 9164 · Ability to read, write and communicate in English · Current CCS (AHIMA Certified Coding Specialist) · 6 months of PC windows experience. · 6 months of inpatient coding experience. · Successful passage of Medical Record Department Inpatient Coding exam with a grade of 80%25 or better.