Trauma Program Registrar-MSM-FT Days

Mount Sinai Health System•New York, NY

5d•Onsite

About The Position

The Trauma Registrar performs comprehensive data collection, abstraction, and basic analysis of trauma patient data. The trauma registrar is completely responsible for the trauma registry, including accuracy, completeness, and confidentiality of information collected and entered into the registry. The trauma registrar analyzes and interprets all available patient data to determine coding classifications, including ICD-9/10 and AAAM, in compliance with the American College of Surgeons and State of New York requirements. The trauma registrar determines the selection, evaluation, and analysis of diagnoses to satisfy criteria for abstracting and entry into the trauma registry and actively works to supply data for the analysis of patient care and identification of opportunities for improvement using data.

Requirements

High School diploma or equivalent required.
Computer skills required.
Board Certified AIS Coding Specialist required within 2 years from date of hire.

Nice To Haves

One or more years of college with courses in medical terminology, anatomy, and physiology, ICD-10-CM/PCS coding certification, AIS 2015 coding certification and computer software databases preferred.
Experience with direct exposure to trauma patient management preferred.
Secretarial experience preferred.
Data entry experience with focus in databases desirable.
Proficiency in Clinical Applications preferred at time of hire; incumbents within position will be trained appropriately and then skill will be required for this position within 30-60 days from date of hire.

Responsibilities

Performs comprehensive concurrent chart review and has primary responsibility for trauma registry data collection, including data entry, database management, data validation, injury coding and scoring, statistical data analysis and report design.
All registry records will be closed within 30 to at a maximum, 60 days of patient discharge.
Works closely with trauma registry vendors to assure timely resolution of problems and to implement revisions and upgrades to the system as they become available.
Submits data to TQIP, NTDB and the state of NY on time and communicates any issues immediately to Trauma Program Manager or Trauma PI Coordinator.
Supports Trauma Program Performance Improvement and Injury prevention initiatives by providing accurate and timely data, noting new trends and issues and informing Trauma Program Leadership promptly when an issue is identified.
Actively participates in all trauma related performance improvement and patient safety program.
Customizes and creates data fields to optimize efficiency of registry and facilitate issue identification and reporting.
Provides reports for monthly Trauma PI meetings no later than 1 week prior to the meeting.
Provides accurate quality and data reports for meetings and surveys by regulatory agencies.
Performs other assigned duties as designated by the Trauma Program leadership.
Participates in injury prevention, outreach and education done by the Trauma Center and ensures prevention activities done are based on local and some national data.
Participates in all trauma center activities and attends national, regional and state programs.
This position supports organizational goals by providing quality customer service, participating in performance improvement efforts and demonstrating a commitment to teamwork and cooperation.