Trauma Nurse Abstractor

Bristol Bay Native Corportation • San Antonio, TX

2d

About The Position

Vista Innovative Solutions, LLC (VIS) is seeking a Trauma Nurse Abstractor to support our new mission in San Antonio, TX.

Duties: Contractor shall collect comprehensive, accurate data relating to registry patients by abstracting all trajectories of care, verify and update all information compiled and enter data into the Registry in a timely manner, perform coding of injuries, procedures, and causes of injuries using standard medical record references, specifically ICD-9/10 codes, assign diagnoses AIS and ICD-9/10-CM codes, and complete ISS and other trauma score calculations for an average of 120 role of care records per week, maintaining a 90% Accuracy Rate, as directed. Contractor shall utilize Abstracting Business Rules as described in data abstraction resources. Contractor shall provide education and consultation to as the AHI/TBI/DoDTR Registry and clinical subject matter experts (SME) to Joint Trauma System personnel and customers. Contractor shall provide training activities specific to clinical abstraction, coding, and business rules for new and existing employees. Contractor shall conduct quality assurance evaluations for clinical accuracy of Registry data at all Roles for Care, maintaining a 90% Accuracy Rate as directed. Contractor shall Conduct Registry Consents as required. Qualifications: Minimum of five (5) consecutive years of nursing experience with at least three (3) years’ experience as a critical care nurse in a critical care unit, trauma unit, emergency department, or inpatient operating room. Medical or Surgical ICU or Emergency Room or Operating Room or other Critical Care Background required. Experience with medical records, coding, medical data entry and medical system design. Medical or Surgical ICU or Emergency Room or Operating Room or other Critical Care Background required preferred ICD-9 Coding and previous work as medical abstractor preferred. Working knowledge of personal computers and office automation software (Standard Microsoft Office for documents, Outlook, Excel, and Access. Previous Trauma Nursing experience. Military nursing experience is desired. Bachelor of Science (BS) in Nursing. United States Registered Nurse (RN) license Proof of immunization for TB Test; Hepatitis B vaccine, titer, or wavier, Tetanus booster within the last 5; and HIV titer. Candidate must have U.S. citizenship or the ability to obtain citizenship, and be able to pass a government background investigation VIS offers a competitive benefits package to include: paid holidays, paid time off including sick and vacation leave, medical, dental and vision insurance, flexible spending accounts, short and long term disability, company paid life insurance, 401(k) with a company match and discretionary profit sharing and tuition reimbursement

Requirements

• Minimum of five (5) consecutive years of nursing experience with at least three (3) years’ experience as a critical care nurse in a critical care unit, trauma unit, emergency department, or inpatient operating room
• Medical or Surgical ICU or Emergency Room or Operating Room or other Critical Care Background required
• Experience with medical records, coding, medical data entry and medical system design
• Working knowledge of personal computers and office automation software (Standard Microsoft Office for documents, Outlook, Excel, and Access
• Previous Trauma Nursing experience
• Bachelor of Science (BS) in Nursing
• United States Registered Nurse (RN) license
• Proof of immunization for TB Test; Hepatitis B vaccine, titer, or wavier, Tetanus booster within the last 5; and HIV titer
• Candidate must have U.S. citizenship or the ability to obtain citizenship, and be able to pass a government background investigation

Nice To Haves

• ICD-9 Coding and previous work as medical abstractor preferred
• Military nursing experience is desired

Responsibilities

• collect comprehensive, accurate data relating to registry patients by abstracting all trajectories of care
• verify and update all information compiled and enter data into the Registry in a timely manner
• perform coding of injuries, procedures, and causes of injuries using standard medical record references, specifically ICD-9/10 codes
• assign diagnoses AIS and ICD-9/10-CM codes, and complete ISS and other trauma score calculations for an average of 120 role of care records per week, maintaining a 90% Accuracy Rate, as directed
• utilize Abstracting Business Rules as described in data abstraction resources
• provide education and consultation to as the AHI/TBI/DoDTR Registry and clinical subject matter experts (SME) to Joint Trauma System personnel and customers
• provide training activities specific to clinical abstraction, coding, and business rules for new and existing employees
• conduct quality assurance evaluations for clinical accuracy of Registry data at all Roles for Care, maintaining a 90% Accuracy Rate as directed
• Conduct Registry Consents as required

Benefits

• paid holidays
• paid time off including sick and vacation leave
• medical, dental and vision insurance
• flexible spending accounts
• short and long term disability
• company paid life insurance
• 401(k) with a company match and discretionary profit sharing
• tuition reimbursement

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 1,001-5,000 employees