Certified Trauma Registrar

gTANGIBLE Corporation • Fort Hood, TX

3d • Onsite

About The Position

The purpose of this position is to support the CRDAMC Trauma Program in the maintenance of the trauma registry.
The Certified Trauma Registrar is a Certified Specialist in Trauma Registries (CSTR) and is a data information specialist that captures a complete history, diagnosis, treatment, and health status for every eligible trauma patient according to program and regulatory requirements and guidelines. The CSTR ensures appropriate trauma patients are captured, assures accurate documentation of procedures and diagnosis, and other pertinent data.
All verified trauma facilities are required to provide trauma data to State, regional and national registries. The CSTR facilitates the transfer of trauma data.
Duties include the following:
Work with physicians, administrators, researchers and health care planners to provide support for trauma program development, ensure compliance of reporting standards, and serve as a valuable resource for trauma information with the ultimate goal of preventing and controlling traumatic injuries.
Abstract a wide range of medical data from the EMR and code it in compliance with data standards.
Correlate coding from supporting clinical documentation in the medical records.
Independently research and solve complex coding problems and assist with special projects as required
Ensure adherence to data management protocols as set forth in state and national requirements, departmental standards, perform other related duties incidental to the work
Ensure the proper sequencing of injuries, assures accurate documentation of procedures, and provides sufficient text documentation to support the National Trauma Data Standards (NTDS), Trauma Quality Improvement Program (TQIP), State and Regional registries and any local requirements.
Perform and ensure uniform and consistent coding and reporting of all required registry data to the NTDS, TQIP, State and Regional registries and any local requirements within the timeframe as required by the respective entity and industry standards.
Overtime is possible

Requirements

• S. Citizen
• The CTR must have obtained certification through the American Trauma Society and have been at least one year of working as a Certified Specialist in Trauma Registries (CSTR) performing the following duties: Abstraction, Coding, Data Entry, and Quality Improvement Audits.
• Knowledge of medical terminology and a thorough understanding of anatomy and physiology, medical terminology, surgical procedures, as well as ICD-10 coding guidelines to inpatient diagnoses and procedures.
• Certificate for completion of a trauma-specific ICD-10 course every 5 years
• Proof of completion of the Abbreviated Injury Scale (AIS) course
• Certificate from a trauma registry course offered through the American Trauma Society (ATS)
• Certification as a Certified Specialist in Trauma Registries (CSTR)
• Certification as a Certified Abbreviated Injury Scale Specialist (CAISS)
• Maintains a minimum of 24 hours of trauma-related continuing education (CE) per survey cycle
• High School Diploma or General Education Development (GED).
• Knowledge and experience providing quality customer service to Government employees, military personnel, and/or contractors.
• Able to read, write, and speak English well enough to effectively communicate with all parties and other health care providers
• Computer literate
• Possess sufficient initiative, interpersonal relationship skills and social sensitivity such that he/she can relate constructively to a variety of patients from diverse backgrounds.

Nice To Haves

• United States Veteran is a plus.
• Must be familiar with military customs and courtesies

Responsibilities

• Work with physicians, administrators, researchers and health care planners to provide support for trauma program development, ensure compliance of reporting standards, and serve as a valuable resource for trauma information with the ultimate goal of preventing and controlling traumatic injuries.
• Abstract a wide range of medical data from the EMR and code it in compliance with data standards.
• Correlate coding from supporting clinical documentation in the medical records.
• Independently research and solve complex coding problems and assist with special projects as required
• Ensure adherence to data management protocols as set forth in state and national requirements, departmental standards, perform other related duties incidental to the work
• Ensure the proper sequencing of injuries, assures accurate documentation of procedures, and provides sufficient text documentation to support the National Trauma Data Standards (NTDS), Trauma Quality Improvement Program (TQIP), State and Regional registries and any local requirements.
• Perform and ensure uniform and consistent coding and reporting of all required registry data to the NTDS, TQIP, State and Regional registries and any local requirements within the timeframe as required by the respective entity and industry standards.

What This Job Offers

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