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Clinical Abstraction Jobs (NOW HIRING)

The CKHobbie Group

Your clinical judgment and attention to detail will be essential in interpreting complex medical records and ensuring the integrity of reported data. You will utilize abstraction tools and electronic ...

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Clinical Abstraction information

What are the key skills and qualifications needed to thrive as a clinical abstraction specialist, and why are they important?

To thrive as a Clinical Abstraction Specialist, you need a strong understanding of medical terminology, clinical documentation, and healthcare compliance, typically backed by a background in nursing, HIM, or a related field. Familiarity with electronic health records (EHR) systems, coding software, and data abstraction tools is commonly required, and certifications such as RHIA, RHIT, or CPC can be advantageous. Attention to detail, analytical thinking, and effective communication are critical soft skills for interpreting records and collaborating with clinical teams. These competencies are vital to ensure accurate data abstraction, support quality reporting, and maintain regulatory compliance in healthcare organizations.

What is the difference between Clinical Abstraction vs Medical Records Technician?

AspectClinical Abstraction
Required CredentialsTypically certifications in health information management, clinical data management, or related fields
Work EnvironmentHospitals, clinics, healthcare organizations focusing on data collection and analysis
Employer & Industry UsageUsed in healthcare settings for quality reporting, research, and patient care improvement
Common Search & Comparison IntentUnderstanding roles related to clinical data collection and management

Clinical Abstraction involves extracting relevant patient data from medical records for analysis, quality improvement, or research. In contrast, a Medical Records Technician primarily manages and organizes patient records, ensuring accuracy and compliance. While both roles work with medical records, Clinical Abstraction focuses on data extraction and analysis, whereas Medical Records Technicians handle record maintenance and retrieval.

What are some of the typical challenges faced in a clinical abstraction role, and how are they addressed?

Clinical Abstractors often encounter challenges such as interpreting complex medical records, ensuring data accuracy, and keeping up with evolving healthcare regulations. To address these, professionals use detailed protocols, standardized abstraction tools, and regular training sessions. Collaboration with physicians and clinical staff is also crucial for clarifying ambiguous information and maintaining high-quality data standards.

What is clinical abstraction?

Clinical abstraction is the process of reviewing and extracting relevant medical information from patient records and other clinical documents. This information is typically compiled into databases or reports for purposes such as research, quality improvement, billing, or regulatory compliance. Clinical abstractors need a strong understanding of medical terminology, healthcare documentation, and data accuracy. Their work supports decision-making in healthcare organizations by ensuring that critical patient data is available and reliable.
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Clinical Abstraction jobs near you
Infographic showing various Clinical Abstraction job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 71% Full Time, 18% Part Time, and 8% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

Clinical Review Specialist (Roseville)

Adventist Health

Roseville, CA

Full-time

Re-posted 11 days ago

Adventist Health rating

7.7

Company rating: 7.7 out of 10

Based on 243 frontline employees who took The Breakroom Quiz

161st of 887 rated healthcare providers

Job description

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.
Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.

Job Summary:

Responsible for the collection, abstraction, validation, and submission of clinical data to support CMS quality programs, patient safety measures, national clinical registries and/or peer review data. Ensures the accuracy and integrity of reported data, supports compliance with regulatory requirements, and contributes to performance improvement initiatives. Applies clinical knowledge to identify trends, monitor quality outcomes, and provide actionable feedback to leaders and clinicians. Supports confidentiality of peer review activities, prepares trended reports for leadership and medical staff committees, and assists in maintaining compliance with accreditation and regulatory standard. Is essential to achieving internal and external quality and patient safety targets.

Job Requirements:

Education and Work Experience:

  • Associate's or Technical Degree in Nursing, Healthcare Administration, or Health Information Management or equivalent combination of education and experience: Required
  • Two years' of experience in quality management, data abstraction, or healthcare analytics: Required
  • Three years' of experience in peer review, abstraction, quality assurance, or hospital data reporting: Preferred

Licenses/Certifications:

  • Registered Nurse (RN) license or equivalent health background: Preferred
  • Certified Professional in Healthcare Quality (CPHQ) or CPPS: Required

Essential Functions:

  • Performs concurrent and retrospective chart abstraction for peer review, quality, and regulatory reporting using defined criteria. Ensures data accuracy and timeliness of submissions to internal and external databases.
  • Performs case abstraction for assigned registries and/ or CMS IOR and QOR measures (e.g., STS, CoC, NSQIP, or other specialty registries). Collaborates with outsourced registry vendors and maintain effective communication with system quality teams. Ensures timely data submission to meet internal and external reporting requirements.
  • Serves as a liaison between the Quality Department, clinical stakeholders, and registry partners. Provides feedback to physicians, nurses, and leaders on documentation gaps or trends impacting data accuracy. Supports initiatives to improve compliance with quality metrics.
  • Adheres to all confidentiality requirements under state and federal peer review protections. Ensures that data collection and storage comply with Evidence Code 1157, PSWP, and organizational policies.
  • Monitors data trends to identify opportunities for clinical process improvement. Provides reports and data insights to Quality and Patient Safety leaders. Supports performance improvement teams with accurate, validated data to guide interventions.
  • Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

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