Cancer Registrar Remote FT
Under the general supervision of the Oncology Data Management Manager, the Cancer Registrar Technical Specialist abstracts information from medical records of patients with positive or possible cancer diagnoses in accordance with Commission on Cancer (CoC) and State Cancer Registry guidelines. Utilizes ICD-O 3 (International Classification of Disease for Oncology), STORE, Multiple Primary, and Hematologic standards, for code assignment and appropriate resolution of all edits. Confers with physician(s) for clarification as needed. Maintains and meets Oncology Data Management quality and productivity standards.
PRINCIPAL DUTIES AND RESPONSIBILITIES: To be successful at Lifespan, all employees commit to sharing our mission of "Delivering health with care" and successfully practicing our values of Compassion, Accountability, Respect, and Excellence which guide our everyday actions with patients, customers and one another. Employees are also responsible for knowing and acting in accordance with the principles of the Lifespan Corporate Compliance Program and Code of Conduct.
Enters into a written Telecommuting Agreement with department management, which may include signing a Lifespan equipment inventory when equipment is supplied by Lifespan, and whereby provision of proof of employee purchased loss protection insurance may be required. The employee agrees to be accessible by telephone/and or modem within a reasonable time period during the agreed upon work schedule, and to formally maintain timely and accurate work and rest period records and to submit such work hours weekly to department management in accordance with Lifespan's system wide written "Telecommuting" policy.
Reviews the Lifespan Cancer Institute new patient and infusion room schedules and compares against the active and suspense database system to ascertain if a patient is a case for follow-up, newly diagnosed and requires accessioning into the database or has developed a subsequent new primary site, which is required to be abstracted.
Receives pathology reports and reviews both clinical history and microscopic diagnosis to identify new, potential and established patients requiring follow-up and updates information in appropriate electronic database.
Reviews the entire medical record to ascertain patient identification data, history of admissions, method of diagnosis, history and types of treatments and intent of treatment (cure or palliation) against the criteria for cancer case selection set forth by the Commission on Cancer of the American College of Surgeons (ACoS), the Hospital Association of Rhode Island (HARI), Lifespan's Cancer Oversight Committee and other regulatory agencies.
Abstracts information on newly diagnosed patients directly into the computerized database from medical records including patient identification and socio-demographic data, primary site and staging of disease, modes of treatment, types/sites of recurrence and survival status. Interprets data and uses the American Joint Committee on Cancer Manual for recording extent of primary tumor and absence or presence of distant metastases, ICD-O for tumor nomenclature and coding, STORE Manual for coding, and the Rhode Island Census Tract Coding Guidelines for assignment of Census Tract Codes.
Accesses the health database to review cases lost to follow-up against various national death indexes. Notes date of death, cause of death and presence of cancer at death in the electronic record.
Compares daily obituaries in the newspaper and on the Internet against master files or registered and suspected cases. Notes date of death in appropriate electronic records.
Ensures staging form(s) is in the electronic medical record, if appropriate.
Participates in weekly Tumor Board meetings. Record recommendation(s) and enters information into the patient abstract located in the computerized IMPAC-Metriq database. Maintains tumor board attendance log.
Assist with activities for reporting cancer-related data to the National Cancer Database (NCDB).
Ensures proper operating condition of computer equipment, making minor adjustments as appropriate and contacting others for more extensive maintenance.
Prepares and maintains related system procedural / operating manuals.
Maintains level of knowledge and expertise pertinent to the position.
Performs other duties as necessary.
Certified Cancer Registrar (CTR) preferred or, at minimum CTR required within 3 years of hire per American College of Surgeons, Commission on Cancer guidelines.
Trained in anatomy, physiology and disease processes. Ability to recognize and understand clinical documentation pertinent for case abstraction.
Knowledge of Cancer Registry data collection requirements of the American College of Surgeons of the Commission on Cancer, National Cancer Registrars Association, federal, state, local and other regulatory agencies.
Knowledge of automated information and data management systems, including hardware and software interfaces. Knowledge and expertise in internet research.
Requires analytical skills to assess information needs, classify, perform staging and prepare reports. Requires interpersonal skills to effectively interact with various cancer registry data users within and outside the Hospital regarding cancer registry data.
Working knowledge of medical terminology, anatomy and physiology.
Organizational skills to effectively maintain various documents, report and manuals.
Experience working with medical records in a hospital setting or health information management department. Minimum three years' experience in the Cancer Registry field. Experience should demonstrate ability to interpret more complex medical records, extent of disease and absence/presence of distant metastasis and to prepare a variety of records using computerized registry.