Medical Records Abstractor

Rockville, MD
Sep 19, 2019
Oct 03, 2019
Healthcare, Research
Full Time
Westat is seeking Medical Records Abstractors to work from our Rockville campus on a data collection effort to collect emergency department data from a sample of hospitals across the US. The primary role of the medical record abstractor (MRA) is to review medical records in a sampled hospital's emergency department(s), abstract specific information from the patient's chart following the project's case identification protocol, and entering the information into a data collection tool.

Candidates must:
· Be at least 18 years old.
· Have a HS diploma or its equivalent
· Be available to complete mandatory web-based home study training sessions prior to in-person training.


· Be available for data collection field period starting July 2019 through September 2020.
· Be available to work up to 40 hours per week on a schedule defined by the assigned hospital, when work is available. Schedule requires daytime hours (08:00am - 5:00pm).
· Have one year Medical Records Abstraction or similar experience.
· Be able to work independently and able to maintain good rapport with other project staff.
· Have excellent computer and math skills.
· Be familiar with medical terminology and medical records.
· Be able to read medical charts in English.
· Have excellent communication skills.
· Be able to work consistently in an organized manner. Must be conscientious, dependable and be able to work well with others.
· Be able meet the physical requirements of the position, with or without reasonable accommodations:
o Lift and/or carry 15 pounds of study materials and
o Be able to kneel/bend to access and lift hard copy files if required by hospital protocols.
· Adhere to the requirements for confidentiality, as required by the contracting agency.
· Be willing to comply with all training requirements, which include attending a refresher training once a year and attending a minimum two days training with the Operations Director at the project's Operations Center.

· At least one year of experience in a job with exposure to medical terminology such as; a Medical Billing Coder, Emergency Medical Technician, work in a hospital or doctor's office.
· Knowledge or experience with electronic health record systems.

· Review and abstract data from participating hospital's emergency department medical records using the hospital's charting system and project abstracting protocols.
· Review abstracted data for completeness and accuracy.
· Enter data into a web based system each work day.
· Follow the project's protocol for reporting the number of visits, charts reviewed and number of cases identified each day.
· Must be available to work specified number of hours per week and maintain work schedule.
· Complete initial training and refresher trainings, as directed.
· Maintain open, positive communication with supervisors (including weekly meeting), and maintain all project communications, reference materials and equipment according to project requirements.
· Must successfully complete online remote training soon after hiring, followed by in person training at the Operations Center in Rockville, Maryland.
· Must comply with all confidentiality requirements
· Must complete a mandatory background check

Additional Duties and Responsibilities
Other duties or responsibilities may be assigned due to changes in study protocol or conditions during the data collection period.

Any offer of employment may be contingent upon receipt of acceptable results from a post-offer background screening, if required for the position, based on the specific position which may include, for example, identity verification, employment history, or criminal records history.

Westat is an Equal Opportunity Employer and does not discriminate on the basis of race, creed, color, religion, sex, age, national origin, veteran status, disability, or any other classification protected by Federal, state, or local law.

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