Hawaii Birth Defects Abstracting Support

The Hawaii State Department of Health, Family Health Services Division, is seeking a contractor to provide professional abstraction services to review, analyze, and abstract clinical information related to birth defects from patient medical records submitted statewide. The goals of this project include improving statewide birth defects surveillance, ensuring accurate and consistent coding, and supporting timely and complete data collection. The target population includes birthing facilities and medical providers who submit diagnostic and clinical information used for statewide birth defects surveillance. The contractor will be responsible for reviewing and abstracting medical records from inpatient, outpatient, neonatal, maternal, and specialty care settings, identifying and abstracting key clinical and demographic information relevant to birth defects, and assigning, confirming, or changing ICD-10-CM diagnosis codes using program rules and clinical guidelines. • Review and abstract medical records from various settings • Identify and abstract key clinical and demographic information • Assign, confirm, or change ICD-10-CM diagnosis codes • Translate clinical descriptions and operative notes into appropriate codes • Identify omissions, inconsistencies, or unclear documentation and flag issues as needed • Accurately enter abstracted data into designated systems and maintain documentation • Coordinate with other abstractors and participate in meetings and trainings • Follow all QA procedures, respond to feedback, and correct errors within required timeframes • Maintain confidentiality and comply with HIPAA and state privacy requirements