RN Trauma Registrar

Mercyhealth Wisconsin and Illinois•Janesville, WI

23h•Onsite

About The Position

The RN Trauma Registrar is responsible for learning and applying the Abbreviated Injury Scoring System, identifying medical records for trauma registry entry, and reviewing medical records of trauma patients after discharge. This role involves working with the EMR to obtain records and meet data requirements for Level II Trauma Centers, entering information into the Trauma Registry computer system, and running reports for the Trauma Service. The registrar will also upload trauma records to the state of WI, NTDB, and TQIP quarterly and attend Trauma Registry meetings. Additionally, they will serve as a contact person for the Image Trend Vendor Digital Innovations.

Requirements

General knowledge of medical-record keeping principles and practices.
General knowledge of ICD-10 medical coding system.
Skill in the use of medical dictionaries, textbooks, and the ICD-10 coding manual as references.
Skill in communicating orally with a variety of people to obtain, clarify, or exchange information.
Ability to analyze medical records to determine inaccurate or insufficient information such as forms, reports, notes, or physician's signature in compliance with medical record keeping.
Ability to perform quality abstracting and coding of medical records under specific workload turnaround times in compliance with federal and state laws, American College of Surgeons, National Trauma Data Bank, Joint Commission on Accreditation of Healthcare Organizations (JCAHO) guidelines, and hospital policies.
Ability to maintain confidentiality of medical information reviewed in medical records.
Ability to work with frequent interruptions.
ED or EMT background - familiar with traumatic injuries.
Graduate of an accredited nursing program.
ADN required upon hire.
Licensed as an RN in state of practice.
BLS certification.
Basic knowledge of keyboard skills and medical terminology preferred.
Excellent oral communication skills and organizational skills.
Ability to handle stress and problem solve.
Computer experience preferred.
Able to work independently.
May include color blind test per department guidelines.

Nice To Haves

BSN preferred.
Two years of ER experience preferred.
Two years of chart auditing or data extraction preferred.

Responsibilities

Learn and apply the Abbreviated Injury Scoring System.
Identify medical records for trauma registry entry.
Read and review medical records of trauma patients after discharge.
Work with EMR to obtain records and most up-to-date data requirements for Level II Trauma Centers.
Enter information into the Trauma Registry computer system as required.
Run reports for the Trauma Service on specific system and patient data.
Upload trauma records to the state of WI, NTDB and TQIP on a quarterly basis.
Attend Trauma Registry meetings.
Be available as contact person for Image Trend Vendor Digital Innovations.