Medical Record Abstractor

Clearance Level
Medical Records
York, Pennsylvania
Martinsburg, Pennsylvania

REQ#: RQ96656

Travel Required: Less than 10%
Public Trust: None
Requisition Type: Regular

GDIT is seeking a Medical Record Abstractor to review medical records, collect clinical information and enter the data into abstraction software in accordance with contractual and organizational guidelines.

This project will provide timely coding updates to risk adjustment factors used in hospital outcome measures and enable CMS to provide timely and accurate comparative quality information to Medicare beneficiaries and QIOs regarding hospital data.

Essential duties/responsibilities include, but are not limited to:

  • Review medical records and other source documents and collect clinical data according to specifications and guidelines provided by the customer. 

  • Data collected may include disease-specific data elements (Sepsis), laboratory documentation, and medications.

  • Accurately enter data into abstraction software using a personal computer, keyboard and/or mouse. Must have reliable home internet.

  • Follow all established processes and procedures.

  • Maintain security and confidentiality of medical records and Protected Health Information (PHI).

  • Consistently meet or exceed productivity and accuracy standards established by the customer and/or the Company.

  • Consistently meet attendance standards established by the Company.

  • Interact appropriately with peers and other co-workers. Contribute to building a positive team spirit.

  • Perform other duties and projects as assigned.

  • Position is currently remote due to Covid-19, but candidates must be able to commute to York, Pa office as needed for technical assistance and training activities.


  • High school diploma/GED or equivalent, plus additional technical training in the review of medical records.

  • At least one (1) year of experience in work, involving hospital medical records review or equivalent experience in similar discipline.

  • Candidate must be a US Citizen to be considered for this position.


  • Associates degree, Medical Assistant, or LPN license preferred.

  • Two or more years of experience of hospital medical records review or equivalent.


  • Strong communication, written, and verbal skills .

  • Ability to work within a team setting.

  • Strong desire to excel at tasks and deliverables.

We are GDIT. The people supporting some of the most complex government, defense, and intelligence projects across the country. We deliver. Bringing the expertise needed to understand and advance critical missions. We transform. Shifting the ways clients invest in, integrate, and innovate technology solutions. We ensure today is safe and tomorrow is smarter. We are there. On the ground, beside our clients, in the lab, and everywhere in between. Offering the technology transformations, strategy, and mission services needed to get the job done.

GDIT is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other protected class.