Cape Fear Valley Medical Center (Remote Position)

Job Summary:
The cancer registry is required for Cape Fear Valley Health’s cancer program to maintain the accreditation status of the American College of Surgeons/Commission on Cancer(ACoS/CoC)-Academic Comprehensive Cancer Center. Under the supervision of the Cancer Registry Supervisor, the Cancer Registrar identifies, abstracts, collects and codes demographic, treatment, staging, and follow-up information of patients with a diagnosed malignancy, history of malignancy with current disease, benign CNS tumors, and certain pre-cancerous conditions. The Cancer Registrar retrieves and analyzes registry data, performs quality control functions to assure accuracy and completeness of data.  The Cancer Registrar must have the ability work independently and is able to maintain registry functions in the absence of the Cancer Registry Supervisor.
Major Job Functions:
The following is a summary of the major essential functions of the position.  The incumbent may perform other duties, both major and minor, that are not mentioned below; and specific functions may change from time to time.  

    1. Accurately identifies and abstracts specified data elements in accordance with the ACoS-CoC and the North Central Cancer Registry established data sets, and correctly enters all abstracted information into the cancer registry database in a timely fashion as evidenced by:

  • Working within established requirements of national and state guidelines.
  • Maintaining no less than a five percent error rate in collection of patient identification, ICD-0 coding of primary site, histology, tumor grade, surgery codes, staging/extent of disease and TNM classification, coding of primary and subsequence treatments, recurrence and follow-up information, and coding ICD-10 causes for death.
  • Completion of suspense cases no later than six months from date of diagnosis.
  • Using all available case finding mechanisms to identify and review all cases for eligibility.
  • Recognizing and interpreting appropriate medical information in order to extract pertinent data elements.
  • Contacts labs, pathology, physician offices, other hospitals and ancillary departments to obtain information on site, histology, tumor grade, treatment, and follow-up information.

    2. Performs and or oversees lifetime follow-up on living patients as evidenced by:

  • Performing regular edit checks to determine that patients are being correctly followed.
  • Performing periodic searches of patients lost to follow-up. 
  • Generating a monthly list of cases to be followed and sending follow-up letters to physicians, other health care facilities, and patients.
  • Employing all methods of follow-up including review of in-house reports, database searches, physician offices, public records, and contact with other healthcare facilities, internet searches, and personal knowledge.
  • Assisting in the identification and surveillance of cancer screening participants.
  • Maintaining confidential communication with physicians and patients to ensure overall continuity of medical care and optimal patient quality of life.

    3. Will assist Cancer Registry Supervisor and/or cancer committee with compiling, processing, and maintaining health information for research, quality assurance, facility planning, and marketing as evidenced by:

  • Assisting in development of PCE/QA study criteria, data collection, and outcome analysis in a timely manner following established procedures.
  • Assisting with Data Requests including generation of Annual Report statistics in a timely manner in accordance with departmental policy and procedure manual and ACoS requirements.
  • Assuring that Data Request Log is completed and updated. 
  • Monthly quality review to monitor registry activity in areas of casefinding, abstracting/coding accuracy, timely data collection, and required reporting to National Cancer Database, and the NC Central Cancer Registry.
  • Conducts required quality control review of 10% of analytic cases.

    4. Performs filing as necessary to maintain orderly suspense files.

    5. Reports any deficiencies in registry operations to Cancer Registry Supervisor that would hinder program approval by ACoS-CoC.

    6. Maintains CTR certification and NCRA membership, as well as the Association of North Carolina Registrars membership.

    7. Must participate in continuing education programs.

Required Education, Certifcations, And Qualifications:
Current Certified Tumor Registrar (CTR) credential required. Must be current and in good standing with the National Cancer Registrars Association. 

Associate’s degree or higher in a health care related field or equivalent combination of related education and work experience.  

At least two years of experience working as a Certified Tumor Registrar in a CoC accredited hospital cancer registry or a central tumor registry. 

Demonstrates knowledge of anatomy and physiology, and medical terminology.  

Working knowledge of current ACoS/CoC cancer program accreditation standards.  

Working knowledge of all current data collection requirements, manuals, and applications from all standard setters (AJCC 8th Edition, AJCC 9th Editions, STORE Manual, Tumor Registry Guide to Coding Radiation, SEER Hematopoietic project/Hematopoietic Database, SEER Solid Tumor Rules, Grade Manuals, SSDI Manual, ICD-0-3.2, Summary Stage 2018, SEER Program and Staging Manual,  North Carolina State Reporting Requirements, NAACCR, RCRS, and additional data collection resources as applicable).

Compliance to minimum productivity/quality standards.

Proficient with Oncolog software database. 

Proficient with various electronic medical record systems including EPIC and Aria.

Must be able to work well independently and have proven problem-solving ability.

Ability to communicate effectively, both in written form and orally, in a variety of settings including: colleagues, medical staff, other departments within the facility, and other outside organizations.

Excellent typing skills, extensive computer knowledge, and familiarity with statistics. 

High-speed internet access and experience with remote access, set-up, and troubleshooting technical issues. 

Secure home office HIPAA compliant. 

Knowledge of email and internet applications and MS Office including Word, Excel, and PowerPoint.

Physical Requirements:
Job requires motor coordination in order to operate computer terminal.  Work varies from sedentary to very mobile.  Speech, sight and hearing required as incumbent must work independently.

About Cape Fear Valley Health System:
For exceptional healthcare come to Cape Fear Valley Health -- where caring employees provide exceptional healthcare to all our patients. At Cape Fear Valley Health, our goal is to improve the quality of every life we touch. To achieve that, our doctors, nurses and staff are committed to excellence in every aspect of the healthcare process. Our values of patient-centeredness, integrity, innovation, teamwork, diversity, and accountability help us create a better experience for every patient, every time. At Cape Fear Valley, our employees and physicians proudly serve a seven-county region of southeastern North Carolina, including Fayetteville, Fort Bragg, Hope Mills, Raeford, Lumberton, Elizabethtown, Clinton, Lillington, Dunn and beyond. Our medical facilities include Cape Fear Valley Medical Center, Highsmith-Rainey Specialty Hospital, Cape Fear Valley Rehabilitation Center, Behavioral Health Care, Bladen County Hospital, Hoke Hospital, Central Harnett Hospital, Betsy Johnson Hospital, as well as several medical offices and specialty clinics spread throughout the Cape Fear region. Since 2017, we have had a graduate medical education program that is home to more than 180 residents and fellows who participate in nine areas of concentration, including Internal medicine, emergency medicine, OB/GYN, general surgery, transitional year, psychiatry, podiatry, cardiology, and child adolescent psychiatry.
Screening Requirements: Drug Screen, Background Check, License and Employment reference verification.
Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity

Note: If interested in the role, please email the recruiter, Lori Temple, at LTEMP@capefearvalley.com