Trauma Data Abstractor

HCA Healthcare•San Antonio, TX

About The Position

The Trauma Data Abstractor is responsible for abstracting data for injured patients at assigned facilities. The role involves reviewing medical records and abstracting information according to standards established by regulatory and accreditation agencies, including ACS, NTDB, TQIP, and state regulations. The abstractor submits data through the appropriate reporting system and resolves errors that cause records to be rejected by the data entry system. Abstraction may be performed in systems such as Traumabase, Digital Innovations, TraumaOne, or ImageTrend.

Requirements

High school education or GED.
Undergraduate degree (associate or bachelor's) or successful completion of a certified coding program is preferred.
Trauma abstracting experience is preferred.
One year of experience in Health Information Management, coding, nursing, and/or health registry abstraction is preferred.
RHIA, RHIT, CSS, LVN, or RN certification or licensure is preferred.

Nice To Haves

Undergraduate associate or bachelor's degree, or successful completion of a certified coding program.
Trauma abstracting experience.
One year of experience in Health Information Management, coding, nursing, and/or health registry abstraction.
RHIA, RHIT, CSS, LVN, or RN certification or licensure.

Responsibilities

Complete the abstraction process for assigned facilities, including entering cases into the required system.
Review medical records and abstract information according to applicable regulatory and accreditation standards.
Submit data on time through the appropriate reporting system.
Resolve errors that result in the rejection of records from the data entry system.

Benefits

Comprehensive medical, prescription drug, dental, vision, behavioral health, and telemedicine benefits.
Wellbeing support, including free counseling and referral services.
Paid time off and paid family leave.
Long- and short-term disability coverage and leaves of absence.
401(k) plan with a 100% match on 3% to 9% of pay, based on years of service.
Employee Stock Purchase Plan and flexible spending accounts.
Preferred banking partnerships, retirement readiness tools, rollover support, and financial wellbeing counseling.
Tuition assistance, student loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing.
Fertility and family-building benefits and adoption assistance.
Life insurance and supplemental health protection plans.
Auto and home insurance, legal counseling, identity theft protection, and consumer discounts.