Manager - Delivery

Job Responsibilities

1. Team & Operations Management

- Lead and manage the medical data abstraction team to ensure accuracy, timeliness, and compliance with organizational and payer standards.

- Assign workloads, monitor performance, and ensure achievement of SLAs and KPIs.

- Provide ongoing training, mentoring, and performance evaluations for team members.

- Oversee day-to-day abstraction operations and ensure smooth coordination with coding and billing teams.

2. Data Abstraction & Quality Oversight

- Review and validate abstracted data from patient charts, EHRs, and clinical documentation.

- Ensure accurate capture of clinical parameters, diagnoses, procedures, and quality metrics.

- Perform periodic quality audits and implement corrective action plans to maintain accuracy standards.

- Monitor abstraction accuracy and consistency to minimize data discrepancies.

3. Compliance & Standards

- Ensure all data abstraction aligns with HIPAA, CMS, payer-specific, and quality reporting guidelines.

- Maintain compliance with ICD-10, CPT, and HEDIS or registry abstraction standards (as applicable).

- Keep the team informed about regulatory updates and new abstraction protocols.

- Develop and maintain Standard Operating Procedures (SOPs) for abstraction activities.

4. Cross-Functional Collaboration

- Collaborate with coding, billing, QA, and clinical documentation improvement (CDI) teams for end-to-end RCM alignment.

- Collaborate with clients, physicians, and quality teams to resolve abstraction discrepancies or clarifications.

- Provide insights to process improvement initiatives and workflow optimization.

5. Reporting & Analytics

- Generate and analyze reports on abstraction accuracy, productivity, and quality metrics.

- Track and present KPI performance to senior leadership.

- Identify trends and implement strategies to enhance efficiency and data accuracy.

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