Trauma Registrar Associate

Advocate Health•Macon, GA
•$21 - $31•Remote

About The Position

The Trauma Registrar Associate analyzes and abstracts patient injury diagnoses and treatment information from multiple sources, accurately assigning injury diagnoses and procedure codes according to current AIS and ICD-10 guidelines. The role applies current National Trauma Data Standard (NTDS), Georgia DPH, and facility data definitions and guidelines; identifies trauma population records, hospital events, complications, and comorbidities; and maintains the reliability and confidentiality of trauma patient data. The position is remote, with the employee required to reside in Georgia, and is part-time at 20 hours per week. The associate supports trauma services and hospital surveys, quality and process improvement activities, data validation and peer reliability projects, and assigned registry meetings. The role requires meeting record-completion and productivity goals while maintaining an accuracy rate greater than 95%. The associate must maintain required education and training records, identify learning needs, and pursue educational opportunities. The position requires a high school diploma or GED, one year of experience in a hospital or physician practice, knowledge of anatomy and medical terminology, accurate typing at 30 WPM, and experience using an electronic medical record. AAAM AIS Coding and ATS trauma registry courses must be completed within one year of hire, and CAISS certification is required within two years of hire. An associate’s degree in a health-related field, specified coding credentials, coding or trauma registry experience, and familiarity with listed software are preferred.

Requirements

  • High school diploma or GED.
  • One year of experience working in a hospital or physician practice.
  • Comprehensive knowledge of anatomy, medical terminology, and procedures, demonstrated through work experience and/or education.
  • Excellent communication skills.
  • Ability to accurately type 30 WPM.
  • Experience using an electronic medical record (EHR).
  • Complete the AAAM AIS Coding course and ATS trauma registry course within one year of hire.
  • Obtain Certified Abbreviated Injury Scaling Specialist (CAISS) certification within two years of hire.
  • Ability to sit for prolonged periods.
  • Ability to lift and carry multiple heavy coding books and manuals weighing up to 10 pounds.
  • Close visual acuity for viewing electronic databases and EMR documentation, extensive reading of electronic and hard-copy references, and reviewing and analyzing data and figures.
  • Must reside in the state of Georgia.

Nice To Haves

  • Associate’s degree in a health-related field.
  • RHIT, RHIA, CPC, CCS, or CCA certification.
  • One year of ICD-10-CM and ICD-10-PCS coding experience.
  • Trauma or injury registry experience.
  • Epic EHR experience.
  • Proficiency with Microsoft Suite, including Word, OneNote, Outlook, and Teams video conferencing software.
  • Experience with ESO/V5 trauma database software.

Responsibilities

  • Analyze and abstract patient injury diagnoses and treatment information from multiple sources; assign injury diagnoses and procedure codes according to current AIS and ICD-10 guidelines.
  • Apply current NTDS, Georgia DPH, and facility data definitions and guidelines.
  • Identify hospital events, complications, and comorbidities according to NTDS definitions.
  • Identify the facility’s trauma population according to NTDS, Georgia, and facility registry inclusion criteria.
  • Meet agreed-upon record-completion goals while maintaining an accuracy rate greater than 95%.
  • Ensure and maintain the reliability and confidentiality of trauma patient data.
  • Remain familiar with registry chapter requirements in the current American College of Surgeons Optimal Resource for Care of the Injured Patient.
  • Assist with preparation for Trauma Services and hospital surveys as assigned.
  • Participate in quality and process improvement activities to ensure data-collection accuracy as assigned.
  • Attend hospital Registry and other meetings as assigned.
  • Maintain compliance with departmental and TQIP/ACS-sanctioned ongoing education and keep records of personal education.
  • Identify training and learning needs and seek educational opportunities.
  • Support data-validation projects and inter-rater reliability peer validations.
  • Meet productivity goals and strive to meet assigned stretch goals.
  • Comprehend and operate various computer programs.

Benefits

  • Paid Time Off programs.
  • Medical, dental, vision, life, and short- and long-term disability benefits.
  • Flexible Spending Accounts for eligible health care and dependent care expenses.
  • Adoption assistance and paid parental leave.
  • Defined contribution retirement plans with employer match and other financial wellness programs.
  • Educational Assistance Program.
  • Competitive compensation, with base compensation determined by qualifications, skills, relevant experience, and/or training.
  • Premium pay such as shift or on-call pay, where applicable.
  • Incentive pay for select positions.
  • Opportunity for annual increases based on performance.
  • Career development and well-being programs.
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