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Trauma Abstractor

JobsRUs.com
Charlotte, NC Full Time
POSTED ON 2/27/2025
AVAILABLE BEFORE 5/20/2025

JobsRUs.com is seeking to hire a Trauma Abstractor for our client!

Benefits Available!

Weekly Pay!

Remote Position!

Pay Rate - $32.88 / hr

Job Description

This position is responsible for abstraction of data for core measure, trauma, VON and / or various cardiovascular services.

DUTIES INCLUDE BUT ARE NOT LIMITED TO :

  • Completes abstraction process for assigned facility(ies), including abstraction of cases into the

required system (e.g., COMET, TheraDoc, Digital Innovations, NHSN, etc.).

  • Responsible for reviewing medical records to abstract information according to the standards of
  • various regulatory and accreditation agencies (e.g., CMS, TJC, NHSN, etc.).

  • Performs timely abstraction to ensure compliance with standards.
  • Completes edit checks and makes appropriate changes on a timely basis.
  • Follow standards and instructions to abstract all reportable cases.
  • Assist with case follow-up as requested.
  • Attend educational activities as approved by Manager and / or Director.
  • Maintain clinical knowledge of various abstracted measures.
  • Communicate in a timely manner with manager to achieve measure compliance.
  • Submit data timely through the appropriate reporting system.
  • Resolve errors resulting in the rejection of records from the data entry system.
  • Participates in required continuing education programs and annual reorientation.
  • Other duties as assigned
  • KNOWLEDGE, SKILLS & ABILITIES

  • Familiar with medical record documentation
  • Basic medical terminology and physiology
  • Able to navigate through the medical record and locate specific documentation
  • Understanding of patient discharge disposition and where to validate in the medical record
  • Ability to extract data from medical record content for abstraction
  • Proficiency in computer skills to include Microsoft Office applications
  • Possess basic keyboard skills
  • Knowledge of medical terminology, quality measures and coding logic.
  • EDUCATION

  • REQUIRED : High school degree (or equivalent) required.
  • PREFERRED : Undergraduate (Associates or Bachelor) degree or successful completion of a certified
  • coding program

    EXPERIENCE

  • 1 year in Health Information Management; Coding or Health Registry abstraction experience preferred
  • CERTIFICATE / LICENSE :

  • PREFERRED : RHIA, RHIT, CSS, LVN or RN
  • Desired Traits and Experiences

    2 years’ experience as a Trauma Registrar / Abstractor

    ICD 10 data abstractor system experience

    Trauma Registry Course

    AIS 15 Course

    2 years of experience with Level 1 or 2 Trauma Centers (Certified in CSTR or CAISS strong plus)

    Certified in CSTR or CAISS (strong plus)

    EMR / Registries in DI or CDM (trauma)

    Meditech Expanse or Epic or Cerner EMR experience

    Salary : $33

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