Job Description

University of Utah Job Description

Job Summary

This position is responsible for assisting registry, research, medical and hospital staff in ensuring quality registry data and compliance with State and Federal Regulations and accreditation requirements through quality improvement (QI) program design and data collection, analysis and presentation. This position may also code, stage, abstract all cases of cancer and certain benign tumors initially seen, diagnosed, and/or treated at University of Utah Health Hospital & Clinics and School of Medicine within the guidelines of the Utah State Health Department, Utah Cancer Registry, and American College of Surgeons (ACoS), and other applicable regulatory body requirements for statistical analysis of cancer incidence, mortality, and treatment protocols in local, state, national and world databases.

Qualifications

Required

• National Tumor Registry Certification.

• Five years of experience as a Certified Tumor Registrar, including abstracting of Cancer Cases or equivalency (one year of education can be substituted for two years of related work experience).

Preferred

• Experience with cancer registry quality improvement, reporting, and educational activities.

Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.

Disclaimer

This job description has been designed to indicate the general nature and level of work performed by employees within this classification.  It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to the job.

Essential Functions

• Designs QI studies, develops criteria for evaluation, and assists registrars and staff with appropriate data collection and data analysis.
• Reviews and interprets patient care information as it relates to registry data requirements and used to assess quality data and necessary improvements.
• Creates reporting documents for internal and external customers to use for regulatory, research activities, trends and patterns, and identifying opportunities for improvement.
• Provides education to registry staff on results of audits. Provides education to physicians on accreditation requirements and state and national standards. Provides education on data analysis and utilization of information to registry, medical and hospital staff, research and regulatory entities.
• Attends and may facilitate department QI meetings, providing "expert" input regarding problem identification and resolution, continuous quality improvement (CQI), and other accreditation activities (specifically Commission on Cancer and National Cancer Institute).
• Monitors daily Quality Control (QC), performs weekly and monthly QC and tracks/manages completion of vendor periodic performance review. Facilitates interface of patient information between Cancer Registry related systems.
• Assists the manager in tracking and trending quality Indicators, writing and executing validation plans and Standard Operating Procedures (SOPs), deviation management, root cause analysis, carrying out other quality assurance duties as dictated by management.
• Identifies, researches, plans, develops, implements with department/individual collaboration on regulatory standards, and provides appropriate timely response to inquiries, questions and/or concerns.
• Abstracts and reviews cases of malignancies and certain benign tumors diagnosed and/or treated within the organization as a Commission on Cancer (CoC)accredited facility, National Cancer Institute (NCI) Designated Cancer Program, and National Comprehensive Cancer Network (NCCN) member for addition to the tumor registry database per local, state, federal, and other required regulatory body guidelines.
• Codes, stages and enters into the computer each case added to the tumor registry utilizing ICD-O, ICD-9/10, AJCC TNM (Tumor, Nodes, Metastasis) & Collaborative Staging and Coding, FORDS (Facility Oncology Registry Data Standards), and SEER (Surveillance of Epidemiology and End Results) guidelines.
• Complies with state and federal mandates that require the organization to report all diagnosed and/or treated malignancies and certain benign tumors.
• Provides caregivers and ancillary support staff with guidelines on complete and timely documentation and CoC standard compliance.
• Contacts patients, providers, and state registries per the database to gather follow-up information and verify or correct patient information.
• Assists in the development, review, and training of cancer registry & cancer committee policies & procedures to staff, health care providers, and cancer committee.
• Evaluates and reports record keeping performance to manager, cancer committee, state and federal regulatory agencies.
• Assists in the recruitment and hiring of personnel.
• Will facilitate educational meetings, internal and external.

Problem Solving

• Knowledge of "Quality Improvement" ideals with experience in a quality program (problem identification/investigation, root cause analysis; ie NAACCR Edits, Commission on Cancer NCDB Edits, CP3R and RQRS).
• Excellent written and verbal communication skills and attention to detail.
• Proficiency in education of registry staff on audit results.
• Ability to perform the essential functions of the job as outlined in the position description.
• Ability to organize and lead teams.
• Extensive knowledge of compliance standards for the cancer registry and cancer committee.
• Ability to recommend policy and procedure changes based upon the discretion of the cancer registry manager.
• Demonstrated clinical competence and in-depth knowledge of specialty area.
• Demonstrated leadership, teaching, research, human relation and effective communication skills are required.
• Knowledge of registry system interfaces and ability to communicate with internal and external teams for interoperability.
• Ability to maintain current certification and meet the continuing education requirements.

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