Abstractor - League City Trauma Services
UTMB Health•League City, TX
About The Position
The Abstractor coordinates data collection and data entry for specific patient populations as directed by the department manager. The role reviews patient records and admission information to determine registry eligibility, extracts relevant data from records across phases of care, and enters assigned information into the registry. The Abstractor also supports reporting to state and/or national registries, maintains confidentiality, and follows the program’s internal controls and reporting structure.
Requirements
- High school diploma or equivalent.
- Two years of directly related EMR experience.
Responsibilities
- Review daily admission reports to identify patients who meet registry inclusion criteria established by the credentialing agency.
- Conduct concurrent and retrospective medical record reviews to extract key data from pre-hospital provider, emergency department, inpatient, and operative notes.
- Enter data points assigned by the department manager into the registry.
- Review the electronic medical record and enter appropriate data into the registry.
- Collect and enter patient-care data covering pre-hospital, emergency department, acute inpatient, and rehabilitation phases of care.
- Coordinate collection of data for reporting to state and/or national registries.
- Apply 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 patient information and maintain confidentiality.
- Adhere to internal controls and the established reporting structure.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
