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Clinical Chart Abstractor Jobs (NOW HIRING)

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Clinical Chart Abstractor information

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How much do clinical chart abstractor jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for clinical chart abstractor in the United States is $28.34, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $33.17 per hour, depending on experience, location, and employer.

What is a clinical chart abstractor?

A Clinical Chart Abstractor is a healthcare professional responsible for reviewing and extracting important medical data from patient records. They analyze clinical documents to ensure accuracy, completeness, and compliance with industry standards. This role is crucial for quality improvement, research, and reporting purposes. Abstractors often work with electronic health records (EHR) and may assist in coding diagnoses and procedures. Their work helps healthcare providers make informed decisions and supports regulatory requirements.

What are the typical day-to-day responsibilities of a clinical chart abstractor?

A Clinical Chart Abstractor is primarily responsible for reviewing patient medical records and extracting key clinical information according to established guidelines and quality standards. On a daily basis, they input this data into databases or quality reporting systems, ensuring accuracy and completeness to support healthcare compliance and outcomes reporting. They often collaborate with nurses, physicians, and data managers to clarify documentation and resolve discrepancies. The work is detail-oriented and may involve independently managing large volumes of charts, often within deadlines. This role provides valuable support to healthcare teams and contributes to improving patient care through accurate data management.

What are the key skills and qualifications needed to thrive as a clinical chart abstractor?

To thrive as a Clinical Chart Abstractor, you need a strong understanding of medical terminology, anatomy, and clinical procedures, often supported by experience in healthcare or a related certification such as Registered Health Information Technician (RHIT). Proficiency with electronic health records (EHR) systems and familiarity with clinical coding standards like ICD-10 and CPT are essential. Attention to detail, strong organizational skills, and the ability to work independently are key soft skills that help ensure accuracy and efficiency. These skills enable Clinical Chart Abstractors to accurately extract and report critical patient data, supporting healthcare quality, compliance, and research initiatives.

How do I become a clinical chart abstractor?

To become a clinical chart abstractor, typically one needs a high school diploma or equivalent, along with experience in healthcare or medical record review. Familiarity with medical terminology, electronic health record systems, and attention to detail are essential; some positions may require certification or training in medical coding or data abstraction.
More about Clinical Chart Abstractor jobs
Infographic showing various Clinical Chart Abstractor 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, with an average salary of $58,955 per year, or $28.3 per hour.

$17.50 - $23.50/hr

Full-time

Re-posted 24 days ago


Fulton County Health Center rating

6.2

Company rating: 6.2 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

824th of 1,065 rated hospitals


Job description

Description

HI Coder/Abstractor


Department: Health Information
Job Type: Full-time, 80 hours bi-weekly
Shift: First shift


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Job Description:

Fulton County Health Center is seeking a detail-oriented Inpatient Coder/Abstractor to join the Health Information team. This position is responsible for accurately coding and abstracting medical records across all hospital service types, ensuring data integrity, regulatory compliance, complete documentation, timely electronic data entry, and support of clinical and statistical reporting. The ideal candidate is passionate about healthcare documentation, quality data management, and maintaining accurate patient health information.


Key Responsibilities:

  • Review medical records and assign diagnosis and procedure codes using ICD-10-CM/PCS and CPT-4 in accordance with Critical Access Hospital reporting requirements and UHDDS guidelines.
  • Abstract and sequence clinical data from medical records while maintaining compliance with coding standards and regulatory requirements.
  • Perform chart analysis during the coding and abstracting process to ensure documentation is complete, accurate, and compliant.
  • Generate clinical and statistical reports and respond to internal data requests.
  • Maintain compliance with departmental, hospital, and regulatory coding policies and procedures.
  • Participate in quality assurance initiatives and support performance improvement activities through accurate clinical data.
  • Identify and communicate incomplete, conflicting, or inconsistent documentation within the medical record.
  • Assist with maintaining the Master Patient Index and ensure accurate patient identification.
  • Provide cross-functional support within the Health Information Department as departmental needs evolve.
  • Comply with all applicable laws, regulations, and Fulton County Health Center policies and procedures, including HealthStream education and Policy Manager requirements.
  • Maintain a professional appearance and demonstrate exceptional customer service while promoting a safe environment for patients, visitors, and fellow employees.

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Requirements

  • High school diploma or equivalent required.
  • RHIT or CCS credential required. Candidates actively pursuing an AHIMA-accredited credential may be considered if completion is expected within six (6) months of hire. Required credential(s) must be maintained as a condition of employment.
  • Ongoing participation in continuing education and professional development is expected.
  • Proficiency with MEDITECH, Microsoft Word, Excel, PowerPoint, and encoder software (3M preferred).
  • Knowledge of ICD-10-CM/PCS, CPT-4, UHDDS guidelines, and Critical Access Hospital coding requirements.
  • Familiarity with medical terminology, anatomy, physiology, procedures, and clinical documentation.
  • Ability to accurately abstract clinical information and communicate data clearly.
  • Strong attention to detail with excellent analytical and organizational skills.
  • Strong memory and ability to interpret complex clinical information.
  • Effective interpersonal and communication skills to work collaboratively with physicians, clinical staff, and external agencies.
  • Competency with electronic medical record (EMR) systems and document imaging software.

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