Traumatic Brain Injury (TBI) RN Abstractor

Bristol Bay Native Corportation•San Antonio, TX

1d•Onsite

About The Position

Vista Defense Technologies (VDT), a government contracting and consulting firm, is seeking RNs to work as Traumatic Brain Injury (TBI) RN Abstractors in San Antonio, TX. This role involves collecting and abstracting comprehensive data on trauma patients, verifying and entering information into a Registry, coding injuries and procedures using ICD-9/10 codes, and calculating trauma scores. The position also requires serving as a Subject Matter Expert (SME) for TBI Clinical Data, assisting with training activities, and performing quality assurance evaluations for clinical accuracy.

Requirements

Minimum of five (5) consecutive years of nursing experience.
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's 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.
Must be able to pass a government background investigation.

Nice To Haves

Medical or Surgical ICU or Emergency Room or Operating Room or other Critical Care Background preferred.
ICD-9 Coding preferred.
Previous work as medical abstractor preferred.
Military nursing experience is desired.

Responsibilities

Collect comprehensive, accurate data relating to trauma 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.
Complete ISS and other trauma score calculations for an average of 20 records per week, maintaining a 90% Accuracy Rate.
Utilize Abstracting Business Rules as described in data abstraction resources.
Serve as SME for TBI Clinical Data to JTS, MOTR, Role 1-5 personnel.
Assist PM with training activities specific to clinical abstraction, coding, and business rules for new and existing employees.
Provide quality assurance evaluations for clinical accuracy of Registry data at all Roles of Care, maintaining a 90% Accuracy Rate.