Abstractor - ADC Trauma (Angleton)

University of Texas Medical Branch (UTMB) • Angleton, TX

2d

About The Position

To provide coordination of data collection and data entry on specific patient populations as directed by the department manager.
Scope/Function:
To provide coordination of data collection and data entry on specific patient populations as directed by the department manager.

Requirements

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

Responsibilities

• Reviews daily admission reports to identify patients for appropriateness of inclusion criteria into the registry based on criteria defined by the credentialing agency.
• Performs concurrent and retrospective review of the medical record to extrapolate key data elements from pre-hospital provider, emergency department, inpatient and operative notes.
• Enters assigned data points identified by the department manager into the registry.
• Reviews electronic medical record and enters appropriate data into the registry.
• Complies and enters data into the registry that is relevant to patient care in all phases of care (i.e., pre-hospital, emergency department, acute in-patient care, and rehabilitation).
• Coordinates the collection of data for reporting to the state and/or national registries.
• Demonstrates knowledge of procedures necessary for developing and maintaining a comprehensive records management system.
• Communicates written and/or verbal registry information to the department manager as necessary to meet the goals of the program.
• Protects confidentiality of patient information at all times.
• Adheres to internal controls and reporting structure.

What This Job Offers

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