Trauma Data Abstractor

  • Tower Health
  • Philadelphia, PA, USA
  • Mar 19, 2021

Job Description



About the Organization

Tower Health is a strong, regional, integrated healthcare provider/payer system that offers leading-edge, compassionate healthcare and wellness services to a population of 2.5 million people. Together, our seven hospitals and other entities provide a full range of medical care from prevention, screenings & education; to the latest clinical services and surgeries available; to rehabilitation. We also offer wellness programs & public health services that ensure our communities are the healthiest they can be. Our caring, highly trained physicians and staff are committed to patient safety and patient satisfaction.

With more than 11,000 team members, Tower Health includes Reading Hospital, a teaching hospital based in West Reading; Brandywine Hospital in Coatesville; Chestnut Hill Hospital, a teaching hospital in Philadelphia; Jennersville Hospital in West Grove; Phoenixville Hospital in Phoenixville; Pottstown Hospital in Pottstown; and St. Christopher's Hospital for Children. We also operate Reading Hospital Rehabilitation at Wyomissing & Reading Hospital School of Health Sciences, & we have a comprehensive physician network.

Collaboration across Tower Health enables our hospitals, providers, leadership & staff to leverage best practices across the health system. Our hospitals have received national recognition for advanced care in areas such as neurosurgery and stroke, cardiac & vascular surgery, trauma, hematology & oncology. Reading HealthPlex, which opened at Reading Hospital in October 2016, combines state-of-the-art technology and world-class design to make the HealthPlex one of the most sophisticated surgical centers & inpatient facilities in the region.

At Tower Health, we have a rich history of providing high-quality, cost-effective care in the communities we serve. As the healthcare industry continues to change, one thing remains steadfast: Tower Health's commitment to Advancing Health, Transforming Lives.


Under the direction of the Trauma Medical Director, Trauma Program Manager, and the Data Analyst (Lead Registrar), the Trauma Data Abstractor is responsible for the efficient operations of the registry including case finding, data abstraction, data entry, data submission and report generation functions of the registry. The data abstractor ensures consistency and quality in the trauma patient data collection system maintaining compliance with the Pennsylvania Trauma Systems Foundation (PTSF), American Burn Association (ABA), American College of Surgeons (ACS) Trauma Quality Improvement Program (TQIP) and the Burn Care Quality Platform (BCQP) requests for data.

Skills & Abilities:

Job Responsibilities

1. Abstracts concurrently from the patient medical record relevant information required for the registry including selection and coding of diagnoses and procedures using ICD10-CM/ ICD 10/PCS, calculation of trauma and Injury Severity Scores (TRIS/ISS), TQIP, BCQP, and National Trauma Data Bank (NTDB).

Ensure all information is accurate, complete, and submitted within the time frames established by PTSF in PTOS manual

Works collaboratively with the Data Analyst and other team members to collect, organize, and disseminate results

Participates in the Interrater Reliability (IRR)

Maintains and monitors Trauma Registry Log to ensure accuracy and timeliness

Requests, monitors, and maintains compliance of receipt of prehospital medical records including EMS charts

Facilitates communication and follow-up with EMS liaison

2. Assists with compliance with PTSF, ABA and other applicable regulatory standards.

Maintains knowledge regarding current standards and completes ongoing required education

Assists with preparation for site surveys

3. Serves as an active member of trauma specific committees internally and externally and contributes to system and programmatic development and planning.

Attends internal related committees

Stays abreast of current national rules, regulations and trends

Attends pertinent external conferences

Participates in national, state and local committees when appropriate

4. Additional responsibilities include but are not limited to as follows:

Ability to prioritize multiple activities.

Demonstrates active involvement as a team member

Demonstrates knowledge of and sensitivity to diversity issues and respect for individual differences.

Demonstrates ability to communicate verbally and in writing.

Demonstrates commitment to customer service.

Participates in continuous performance improvement activities.

Demonstrates computer and keyboard skills.

Demonstrates telephone communication skills.

Demonstrates ability to take direction from various health team members.

Must be detailed oriented

Other duties as assigned by Trauma Program Manager/Director and Data Analyst to facilitate maintenance of the programs.


Education and Training:

High School Diploma or equivalent required

Associate's Degree in a health related field preferred

Medical terminology and anatomy and physiology knowledge required

ICD-10-CM/ICD-10-PCS coding and AIS coding knowledge

Data base management; computer competency in Microsoft Office

Experience: Prior work experience in medical coding and/or abstracting suitable for position preferred.