Trauma Data I Specialist, Trauma Center, Full-Time

UC Health•Cincinnati, OH

About The Position

The Trauma Data I Specialist completes Trauma, Burn, and Acute Care Surgery Registry work, including collecting, entering, retrieving, validating, analyzing, and reporting data for research, performance improvement, injury prevention, education, billing, and outcome measurement. The specialist obtains and abstracts concurrent and retrospective patient information and maintains patient databases using Abbreviated Injury Scaling (AIS) codes for injuries and ICD-10 codes for diagnoses and procedures. The role supports UC Health’s mission, vision, values, and customer service standards while protecting patient confidentiality and complying with HIPAA requirements. The position works with patient information from sources including EPIC and its integrated medical records, EMS run-report databases, and the coroner. It requires timely abstraction of more than 300 data elements and submission of data for internal quality committees and external trauma and burn registries. The specialist also participates in clinical research data collection, registry validation, and financial reporting related to trauma admissions and reimbursement.

Requirements

Associate degree in healthcare, technology, education, Health Information, or a related field, or two or more years of trauma registry experience or equivalent in lieu of the associate degree.
At least 1–2 years of equivalent experience.
Within 12 months of hire, successfully complete an AAAM Abbreviated Injury Scaling (AIS) Coding course.
Within 12 months of hire, successfully complete the American Trauma Society Registrar Course or a state equivalent required by the ACS, covering abstraction, data management, reports and report analysis, data validation, and HIPAA.
Ability to perform trauma registry data abstraction, coding, validation, and reporting duties in accordance with applicable standards and deadlines.

Nice To Haves

Three to five years of equivalent experience.
Certified Specialist in Trauma Registry (CSTR).
Certified Abbreviated Injury Severity Scale Specialist (CAISS).
Certified Inpatient Coder (CIC) from AAPC.
Certified Coding Associate (CCA) from AHIMA.
Certified Coding Specialist (CCS) from AHIMA.
Registered Health Information Technician (RHIT) from AHIMA.
Registered Health Information Administrator (RHIA) from AHIMA.

Responsibilities

Monitor daily trauma admissions, transfers, and discharges, and confirm patients and changes using registry, autopsy, and patient identification logs.
Coordinate collection of patient data from sources including EPIC, EMS run-report databases, and the coroner.
Analyze and enter appropriate patient data into registries, including all patients identified in patient identification reports.
Request and enter autopsy report data.
Abstract and record 300 or more data elements, including hospital events and complications, comorbidities, and TQIP Measures of Processes of Care according to National Trauma Data Standard definitions and criteria.
Meet data deadlines for UC Health trauma and hospital quality committees, the ACS National Trauma Data Bank, the Ohio Trauma Acute Care registry, the Tri-State Trauma Coalition, and the American Burn Association.
Participate in data collection for the ongoing clinical research program.
Assign ICD-10 codes for diagnoses and procedures and AIS codes for injuries according to AAAM rules and guidelines.
Complete eight hours of trauma registry-related continuing education annually and stay current with relevant developments and practices.
Conduct monthly and ad hoc registry-data validation to support data quality, continuous improvement, and research; assist with inter-rater reliability validation and maintain at least 90% validation accuracy.
Analyze and report UB-04 FL 14 (Type 5) trauma admission type to identify trauma activations; assign Epic Registry FYI codes to automate UB-04 68x reimbursement codes for activations with hospital prenotification; analyze and report UB-04 208 trauma ICU reimbursement code.
Maintain HIPAA compliance and patient confidentiality.
Perform other functionally related duties as assigned.