Job Facility: University of Maryland Medical Center
Employment Type: Full Time
What You Will Do:
Applicants MUST have Certified Tumor Registrar (CTR) credential from National Cancer Registrars Assocation. General Summary
Under general supervision, oversees the daily operations of the Oncology Registry and its staff in the central Health Information Management Department. Identify, register and maintain records of all cancer patients by utilizing the IMPAC-MRS. Analyze registry data; disseminate information in accordance with professional ethics. Assure data quality, work effectively and efficiently, as well as consistent and accurate communication with other Medical System staff, the Maryland Cancer Registry and other oncology data coordinators throughout the State. Manages the tumor registry’s registrars and abstracters.
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
Manages the abstracting staff to ensure the effective collection and registry compilation of data to support the tumor registry’s function.
Identifies cases of malignant diseases treated at the Medical Center.
Abstracts information from patient medical records including demographic characteristics, history of cancer, diagnostic procedures, diagnosis, state, extent of disease and treatment.
Codes diagnoses (including typography and morphology) of identified cancer patients using ICD-0 3rd Edition coding guidelines and principles.
Maintains records of living patients to obtain end-result information on the quality and length of survival.
Organizes input and maintains patient computer data to ensure conformance with operational standards for tumor registry and to meet the needs of the users of registry data.
Preserves the confidentiality and security of patient data stored in tumor registry files
Ensures the effective collection and compilation of tumor registry data by the registry staff
Prepares routine and special statistical reports including data on cancer patient population for hospital planning, managed care and administration purposes.
May prepare narrative reports and graphic presentations of tumor registry data, as required
Prepares information for annual report on UMMC cancer rates by individual site or as required
Assists clinicians, epidemiologists and other researchers in cancer research studies and special projects, as requested by physicians and as required by the American College of Surgeons, providing guidance in the use of tumor registry data.
Ensures efficient and effective operations within the tumor registry area and its staff.
Organizes and maintains effective and efficient work flow and unit operating process.
Reviews and updates the registry’s staff work procedures, annually
In the Tumor Registry unit, this would be administered for abstracting records as well as accession and follow-up of patients diagnosed with cancer at UMMS, UMCC and Radiation Oncology according to guidelines set forth by the Medical Center and the American College of Surgeons
Monitors, measures and controls the quality of record processing, abstracting, record retrieval and/or data-gathering, and data entered into the tumor registry by the registry’s staff through consistent evaluation of work processes, as appropriate for particular unit.
Observes and interprets Maryland statutes and JCAHO standards relating to medical records services and medical record confidentiality
Assists and supports the Cancer Center in the preparation and completion of an Annual Report on the cancer program.
Generates specified reports on neoplasms and related sites and demographic information of patients treated within the requested time period.
Ensures data reported is accurate
Confers with the appropriate medical and administrative staff to ensure appropriate reporting of neoplasms in the Annual Report.
Oversees and monitors and compliance of the UMCC program with the Commission on Cancer Program standards.
Ensures an annual periodic focus review is conducted on all standards.
Ascertain and facilitate that there is a responsible entity to implement activities to assure standard compliance
Report standards in non-compliance to the Cancer Committee
Facilitates open communication with medical, nursing and allied health staff to ensure compliance with medical record policies, procedures and requirements
Observes hospital and departmental policies and procedures.
Develops general departmental policies and procedures regarding Tumor Registry
Attends and participates in regular department meetings, in-service training and other seminars and relevant professional/technical activities, specifically, the Cancer Committee, the Quality Assurance Cancer Subcommittee and Tumor Conference
Coordinates activities of the tumor registry with those of the Cancer Committee in developing criteria for patient care evaluations
Compiles and maintains accurate statistical data on daily work productivity and quality of the registry’s staff, and reports such information to Director of HIM on a regular basis.
Monitors data quality on all functions of the Tumor Registry and its staff
Monitors and ensures the correct abstraction of patient demographic information
Ensures the correct and adequate coding of each abstracted account
Conducts quality audits to ensure and validate the registry’s staff coding performance is at a 99% accuracy rate or better
Maintains current credentials as a Registered Health Information Technician/Certified Tumor Registrar by attending appropriate continuing education credit courses.
Participates in educational activities of local, state and national tumor registrar associations as appropriate.
What You Need to Be Successful:
Education and Experience
High School Diploma or equivalent (GED) is required. Associate’s Degree or Bachelor’s Degree of certified coding credential (CSS, RHIT, RHIA, CPC, CCS-P or CCA, etc) preferred. Certification from the National Cancer Registrar Association (CTR) required.
Four (4) years progressively responsible technical experience as a Health Information Technician performing medical records work in the Tumor Registry specialty required.
Knowledge, Skills and Abilities
Proficient knowledge of medical terminology and medical records science, to include documentation requirements--both regulatory and institutional—record assembly and analysis, coding, abstracting, research methods/data-gathering and automated record management applications
Knowledge of personal computer, medical records applications, IMPAC-MRS and general familiarity with mainframe Hospital Information System programs. Basic understanding of anatomy and physiology is necessary in order to read and interpret medical record documentation
Ability to monitor daily work activities, and assist with training and evaluating the performance of clerical medical records staff assigned to the unit, as necessary
Effective oral and written communication skills are required to work with hospital staff and outside vendors and/or agencies as appropriate