Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits in fiscal year 2017.
U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2018-19.
Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, nephrology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.
In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.
Due to our increase in case load, we have a new CRT opportunity - Remote Oncology Abstractor
Must reside in one of the following states: NC; SC; VA; GA; TN; FL; MD; Washington, DC; NY; TX; or CA
Certified Tumor Registrars (CTR's) are data information experts that capture a complete history, diagnosis, treatment, and health status for every eligible cancer patient. All hospitals in North Carolina are legally required to provide their cancer data to the State Department of Health's Central Cancer Registry on a monthly basis. In addition, the Duke Cancer Institute (DCI) is an accredited NCI-Designated Comprehensive Cancer Center Program established by the American College of Surgeons (ACoS), Commission on Cancer (CoC). Therefore, the DCI is required to adhere to the CoC Cancer Program Standards which include uniform coding as specified in the Facility Oncology Registry Data Standards (FORDS). These data provide essential information to researchers, healthcare providers, and public health officials to better monitor and advance cancer treatments, conduct research and improve cancer prevention and screening programs. CTR's work with physicians, administrators, researchers and health care planners to provide support for cancer program development, ensure compliance of reporting standards, and serve as a valuable resource for cancer information with the ultimate goal of preventing and controlling cancer. CTR's are required to be proficient in FORDS coding, ICD-O coding, American Joint Committee on Cancer TNM staging, Collaborative staging, Surveillance, Epidemiology, End Results (SEER) staging, multiple primary and histology coding.
Duties and Responsibilities:
Abstract a wide range of medical data from the EMR and code it in compliance with data standard sets established by the (ACoS) (CoC) and the (NCCCR). This includes: Medical History physical findings, screening information, occupation and any history of a previous cancer; Diagnostic Findings types, dates, and results of procedures used to diagnose cancer; Cancer Identification primary site, cell type, and extent of disease; Cancer Treatment surgery, radiation therapy, chemotherapy, hormone, or immunotherapy; Patient Identification age, gender, race/ethnicity, birthplace and residence; Outcomes annual follow-up information regarding patient status, recurrence and treatment.
Maintain a thorough understanding of anatomy and physiology, medical terminology disease processes, surgical and radiation techniques, new chemo and hormone drugs, through participation in continuing education programs to effectively apply ICD-O, FORDS, AJCC, and SEER coding guidelines to inpatient and outpatient diagnoses and procedures. All coding is correlated from supporting clinical documentation in the EMR. CTR's also participate in the development of coding policies and procedures as identified as well as independently research and solve complex coding problems and assist with special projects as required.
In addition, to coding topography, morphology, and stage of disease, CTR's also ensure adherence to data management protocols as set forth in state and national requirements, departmental standards and guidelines set forth by the DCI Cancer Committee.
Perform other related duties incidental to the work described herein.
An Associate's Degree (in CRM or CIM preferred) is required for those certified on or after 2015 requirement.
Due to the complexity of the cancer cases seen at Duke, at least two years of experience working as a CTR in a Hospital or Central Tumor Registry is required. Prefer 5 years of experience as a CTR.
Degrees, Licensure, and/or Certification
Certified Tumor Registrar certification required.
Knowledge, Skills, and Abilities
Proficient in Facility Oncology Registry Data Standards (FORDS), ICD-O Coding, AJCC TNM, Collaborative Staging and Surveillance, Epidemiology, End Results (SEER) staging, multiple primary and histology coding
Excellent organizational skills with good follow through, investigative/analytic skills with detail orientation. Ability to achieve productivity goals under pressure. Good verbal and written communication skills.
Working knowledge of Metriq Registry software, Windows-based software and EPIC EMR.
Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.