Accurately review, interpret, and abstract clinical patient data from various electronic health record (EHR) systems, paper charts, and other source documents.
Apply knowledge of medical coding systems (e.g., ICD-10, MedDRA, CPT, HCPCS) to interpret, classify and categorize abstracted clinical data points.
Utilize specialized data management software (e.g., REDCap, registries, and custom built EDC systems) to enter, track, and maintain clinical data integrity.
Aid cross-functional teams in translating clinical and data abstraction and encoding requirements.
Apply and support establishing program specific clinical data management best practices (CGDMP) and good clinical practice (GCP).
Apply industry standard best practices for utilizing real-world data for research, quality monitoring, and regulatory reporting.
Conduct peer reviews on medical record data interpreted and encoded by abstraction peers.
Maintain strict adherence to all project and research protocols, institutional review board (IRB) requirements, HIPAA regulations, and data management best practices.
Participate in the development and refinement of abstraction and quality guidelines, tools, and standard operating procedures.
Provide timely and accurate daily, weekly, or monthly abstraction submissions and productivity reporting.

U. S. licensed Nurse, PA-C, NP, or DNP is required with a Master’s degree in health sciences.
Minimum of 4-5 years of experience in clinical data abstraction and medical records review, preferably in cancer, women’s health, rare diseases.
Proven ability to accurately read, interpret, and abstract complex clinical information from various electronic and paper medical record sources.
Direct experience performing clinical data encoding using standard ontologies including but not limited to ICD-10-CM and SNOMED CT.
Demonstrated commitment to data integrity, quality control processes, and adherence to HIPAA and other data privacy regulations.
Proficient with Microsoft Office Suite or Google Suite, creating pivot tables, generating reports, data analysis, and using clinical data systems or databases common in clinical data abstraction, research, or clinical data management.
CCDM, CCRP, ACR-P, or CRA preferred.
Excellent written and verbal communication skills, with the ability to effectively collaborate with clinical and non-clinical teams.
Proven ability to work independently, manage time effectively, prioritize and organize tasks, and meet strict productivity and quality deadlines.
Possess a high level of initiative and self-motivation.

Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents.
Natera employees and their immediate families receive free testing in addition to fertility care benefits.
Other benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much more.
Generous employee referral program!

Senior Clinical Data Abstractor

Key skills