HIM Data Abstractor

Northfield Hospital + Clinics; Northfield (MN); On-site; USD 28,000 - 39,000; Full time

Benefits offered by this job

Paid Time Off

Health insurance

Dental/Vision coverage

Flexible Spending Accounts

Life/AD&D/Disability Insurance

Pension Plan with employer match

Job summary

The Health Information Management (HIM) Data Abstractor at Northfield Hospital + Clinics reviews, analyzes, and abstracts clinical and demographic information from paper records, CCDs, and EMRs to ensure complete, accurate patient data for patient care, regulatory compliance, and quality initiatives.

Responsibilities include identifying inconsistencies, indexing records in the EMR, maintaining HIPAA privacy, and collaborating with an interdisciplinary team.

Qualifications

• Experience in medical record abstraction, chart review, document imaging, CCD review, or a related healthcare field.
• Must be able to speak, read, and write English proficiently to ensure safe and effective communication in a healthcare environment.

Responsibilities

• Reviews, analyzes, and abstracts pertinent patient information from paper records, external records, CCDs, health information exchanges, and EMRs into the NH+C EMR.
• Ensures abstracted information is accurate, complete, and entered into the correct location within the EMR.
• Identifies, investigates, and resolves inconsistencies, discrepancies, duplicate information, and incomplete documentation.
• Maintains confidentiality and adheres to HIPAA and regulatory requirements.
• Supports data integrity and participates in QA activities.

Skills

Medical record abstraction

Chart review

Document imaging

CCD review

English proficiency

Education

Associate degree in Health Information Management

RHIT/RHIA or other credentials

Job description

Job Summary

The Health Information Management (HIM) Data Abstractor is responsible for reviewing, analyzing, and abstracting clinical and demographic information from paper medical records, external healthcare records, health information exchanges, Continuity of Care Documents (CCDs), and other electronic health records into the Northfield Hospital + Clinics electronic medical record (EMR). This position supports the integrity, completeness, and accessibility of the medical record to ensure accurate patient information is available to support ongoing patient care, regulatory compliance, quality initiatives, and organizational operations. The HIM Data Abstractor applies knowledge of medical terminology, anatomy and physiology, clinical documentation, healthcare workflows, and health information management principles to accurately identify, organize, and enter relevant patient information into the designated sections of the EMR while maintaining the confidentiality and security of protected health information.

Job Summary

The Health Information Management (HIM) Data Abstractor is responsible for reviewing, analyzing, and abstracting clinical and demographic information from paper medical records, external healthcare records, health information exchanges, Continuity of Care Documents (CCDs), and other electronic health records into the Northfield Hospital + Clinics electronic medical record (EMR). This position supports the integrity, completeness, and accessibility of the medical record to ensure accurate patient information is available to support ongoing patient care, regulatory compliance, quality initiatives, and organizational operations. The HIM Data Abstractor applies knowledge of medical terminology, anatomy and physiology, clinical documentation, healthcare workflows, and health information management principles to accurately identify, organize, and enter relevant patient information into the designated sections of the EMR while maintaining the confidentiality and security of protected health information.

Compensation

We are committed to providing wage ranges for all open positions. Please note that the specific compensation for this role will be determined based on experience, education and internal equity considerations. The hourly wage range for this position is $20.27-$28.61. This range reflects the base salary for this position.

Key Accountabilities

• Reviews, analyzes, and abstracts pertinent patient information from paper records, external records, Continuity of Care Documents (CCDs), health information exchanges, and electronic medical records into the NH+C electronic medical record.
• Ensures abstracted information is accurate, complete, appropriately categorized, and entered into the correct location within the electronic health record.
• Identifies, investigates, and resolves inconsistencies, discrepancies, duplicate information, and incomplete documentation while maintaining the integrity of the medical record.
• Assists with the review, validation, and reconciliation of external patient information, including medications, allergies, immunizations, procedures, diagnoses, and other clinically relevant data.
• Maintains established productivity, quality, and accuracy standards while meeting deadlines and departmental expectations.
• Demonstrates knowledge and appropriate use of the electronic medical record, document imaging systems, health information exchange platforms, and other technology utilized by NH+C.
• Supports medical record integrity initiatives, chart review activities, data collection projects, document management processes, document imaging workflows, and other HIM-related responsibilities as assigned.
• Maintains strict confidentiality of patient information and complies with all HIPAA, privacy, security, regulatory, and organizational requirements.
• Demonstrates the ability to work effectively as a member of an interdisciplinary healthcare team and communicate professionally with providers, leadership, and staff.
• Assists with the receipt, review, indexing, validation, and management of external medical records to support continuity of care and accurate patient record maintenance.
• Supports data integrity efforts by identifying duplicate, overlapping, or conflicting patient information and escalating concerns through established HIM processes.
• Participates in departmental quality assurance activities, audits, training, and process improvement initiatives to promote accurate and complete medical records.
• Performs other duties assigned in support of Health Information Management operations.

Required Qualifications

• Experience in medical record abstraction, chart review, document imaging, CCD review, or a related healthcare field obtained through education and/or work experience.
• Must be able to speak, read, and write English proficiently to ensure safe and effective communication in a healthcare environment.

Preferred Qualifications

• Associate degree in Health Information Management, Healthcare Administration, Health Sciences, or related field.
• RHIT, RHIA or other healthcare-related credentials.

Schedule

• Full-time, 80 hours per two-week pay period
• Monday-Friday Business Hours
• This role requires working onsite in Northfield, MN.

Benefits

• Paid Time Off accrued starting on first paycheck
• Medical, Dental, and Vision (discount plan) coverage
• Flexible Spending Accounts
• Life, AD&D, and Disability Insurance
• Pension Plan (PERA) with 7.5% employer match
• Optional 457(b) Retirement Plans
• Tuition Reimbursement
• Loan Forgiveness Eligibility – PSLF + MN state programs for qualifying roles
• Employer-Provided Certifications + Continuing Education
• Additional perks: Free On-Site Parking, Qualified Bilingual Staff Program, Employee Assistance Program, and discounts on cafeteria, scrubs, and OTC pharmacy items

About Us

Northfield Hospital + Clinics is a trusted, independent healthcare system with more than 800 employees. We’re recognized for our collaborative work environment and strong commitment to high-quality patient care and community impact. We’re proud to be named to Becker’s 2025 list of "100 Great Community Hospitals." Our services span the full spectrum of hospital and clinical care, with our main hospital located in Northfield, MN, and primary and specialty clinics in Northfield, Lakeville, Farmington, Faribault, and Kenyon—along with Urgent Care locations in Northfield, Lakeville, and Farmington. We offer care across 48 specialties and serve patients at 22 locations throughout the south metro and southern Minnesota.

This job posting is not intended to be an exhaustive list of all duties, responsibilities, or activities required of the position. Duties, responsibilities, and activities may change at any time with or without notice. Compensation, benefits, work schedules, and other terms and conditions of employment are subject to change in accordance with applicable laws, policies, and collective bargaining agreements, if applicable.