Role Description 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. - Assign TNM staging for analytic cases. - Determine 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

• Comprehensively select and extract pertinent information from medical records • Document findings for review by the MD MMRT • Abstract cases within a specific time frame • Coordinate notifications with the MDH Maternal Mortality Review Coordinator • Attend monthly MD MMRT meetings and provide support during case reviews • Ensure all data is complete, unbiased, and in compliance with confidentiality laws (e.g., HIPAA)

• Collects and abstracts data from patient medical records, especially those related to stroke care. • Ensures the accuracy and completeness of the abstracted data. • Adheres to specific clinical data abstraction guidelines and standards, such as those set by the American Heart Association. • Enters the abstracted data into a database or registry, often using specialized software. This includes maintaining and updating the data as necessary. • Participates in quality assurance processes to ensure data integrity. • Remains informed about developments in stroke care and data management to ensure ongoing competency in the role.

• Reviews patient medical records and abstracts data for the GWTG HF Registry • Applies registry specifications, definitions, inclusion and exclusion criteria, and abstraction guidelines accurately and consistently • Interprets clinical documentation related to heart failure diagnosis, clinical presentation, treatment, medications, discharge planning, education, contraindications, exclusions, outcomes, and related quality measures • Enters accurate and complete data into assigned registry platforms, EHRs, vendor tools, or other data collection systems • Maintains a high level of abstraction accuracy, completeness, and attention to detail • Meets assigned productivity expectations, weekly progress goals, and internal and client deadlines • Participates in quality assurance activities, including feedback, correction, validation, and IRR reviews • Communicates professionally with account leads, team members, and client contacts when clarification is needed • Maintains strict confidentiality and complies with ADN, client, HIPAA, and data security requirements