Operations RCM

Profile Overview

We are seeking a detail-oriented and analytical Clinical Data Abstractor to perform high-quality medical record abstraction. The role combines proficient-level experience in data management and software with strong knowledge of medical terminology, medical coding, information encoding and analytical capability. The incumbent will review, interpret and manage complex clinical patient data for research, quality improvement, registry, regulatory reporting and healthcare analytics initiatives.

Job Roles & Responsibilities

Data Abstraction

• Review, interpret and abstract clinical patient data from electronic health record (EHR) systems, paper charts, medical charts, laboratory reports, physician notes and other source documents, in accordance with defined project or research protocols, clinical, data and technical specifications, and dictionaries.
• Accurately capture patient demographics, diagnoses, procedures, medications, laboratory results, outcomes and other required clinical variables.




• Apply standardized data abstraction guidelines and project-specific inclusion/exclusion criteria.

Coding and Classification:

• Apply knowledge of medical coding systems (e.g., ICD-10, ICD-10-CM, SNOMED CT, MedDRA, CPT, HCPCS) and standard-of-care guidelines to interpret, classify and categorize clinical data points from unstructured text into standardized, machine-readable data within one common database schema.
• Perform data mapping, standardization and harmonization as required by the project.

Electronic Data Capture and Data Management:

• Use specialized data management software (e.g., REDCap, registries, custom-built EDC systems and other clinical databases) to enter, track and maintain the integrity of clinical data in query able databases.
• Apply and support program-specific clinical data management best practices (CGDMP) and positive clinical practice (GCP) so that data is accurate, legible, contemporaneous, original, attributable, com

📌 CLINICAL DATA ABSTRACTOR (India)
🏢 Innoval Global Solutions
📍 India