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Trauma Abstractor
American Data NetworkExperienced Trauma Abstractor supporting accurate and timely trauma registry abstraction for healthcare clients. Must have hands-on Trauma abstraction experience and ability to independently review clinical documentation.
About the role
Key responsibilities & impact- Reviews patient medical records and abstracts data for the Trauma Registry.
- Applies registry specifications, definitions, inclusion and exclusion criteria, and abstraction guidelines accurately and consistently.
- Interprets clinical documentation and abstracts detailed injury and care data into the trauma registry database, including mechanism of injury, injury severity, clinical course, interventions, complications, and outcomes in accordance with trauma standards.
- Enters accurate and complete data into assigned registry platforms, EHRs, vendor tools, or other data collection systems.
- Maintains a high level of abstraction accuracy, completeness, and attention to detail.
- Meets assigned productivity expectations, weekly progress goals, and internal and client deadlines.
- Participates in quality assurance activities, including feedback, correction, validation, and IRR reviews.
- Communicates professionally with account leads, team members, and client contacts when clarification is needed.
- Maintains strict confidentiality and complies with ADN, client, HIPAA, and data security requirements.
Requirements
What you’ll need- At least 2 years of recent Trauma Registry abstraction experience.
- Current trauma registry and coding education is required, including documentation of completion for the Trauma Registry Course, AAAM AIS Coding Course, and an ICD-10 coding course completed within the past five years.
- Ability to independently abstract Trauma cases using registry specifications and clinical documentation.
- Strong understanding of healthcare quality reporting, registry abstraction, clinical documentation review, and medical record interpretation.
- Ability to work independently with minimal supervision while maintaining accuracy and meeting deadlines.
- Strong attention to detail, organization, documentation, and follow-through.
- Comfort working in multiple EHRs, registry platforms, vendor tools, and data collection systems as assigned.
- Excellent interpersonal and written communication skills.
Benefits
Comp & perks- Flexible scheduling
- Knowledgeable and supportive team environment
- Multiple registry opportunities
- Potential growth into lead or expanded quality roles for strong performers
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Data AbstractionMedical Record InterpretationRegistry SpecificationsQuality Assurance ActivitiesData Entry Accuracy
Soft Skills
Interpersonal CommunicationOrganizational SkillsFollow-Through
Certifications
Trauma Registry CourseAAAM AIS Coding CourseICD-10 Coding Course