Abstractor - League City Trauma Services

University of Texas Medical Branch (UTMB) • League City, TX

2h

About The Position

The Abstractor coordinates data collection and data entry for specific patient populations as directed by the department manager. The role reviews medical records and extracts relevant data from pre-hospital, emergency department, inpatient, operative, and rehabilitation care to maintain the registry and support reporting to state and/or national registries. The Abstractor protects patient confidentiality and follows the organization’s internal controls and reporting structure.

Requirements

• High school education or equivalent.
• Two years of directly related EMR experience.

Responsibilities

• Review daily admission reports to identify patients who meet registry inclusion criteria defined by the credentialing agency.
• Perform concurrent and retrospective medical-record reviews to extract key data from pre-hospital provider, emergency department, inpatient, and operative notes.
• Enter assigned data points into the registry as directed by the department manager.
• Review the electronic medical record and enter appropriate data into the registry.
• Compile and enter registry data relevant to patient care across pre-hospital, emergency department, acute inpatient, and rehabilitation phases.
• Coordinate collection of data for state and/or national registry reporting.
• Demonstrate knowledge of procedures for developing and maintaining a comprehensive records management system.
• Communicate written and/or verbal registry information to the department manager as needed to meet program goals.
• Protect the confidentiality of patient information at all times.
• Adhere to internal controls and the reporting structure.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED