Trauma Registrar Clinical Data

Corewell Health • Grand Rapids, MI

1d • Onsite

About The Position

The Trauma Registrar Clinical Data role identifies, abstracts, and maintains records for applicable patients in a registry data system. The position analyzes registry data and disseminates information in accordance with professional ethics while preserving the confidentiality and security of patient data.

The registrar supports the organization and maintenance of the data system to meet user needs, State and National reporting requirements, and trauma center verification and designation standards. The role identifies patients for registry inclusion, abstracts data prospectively and retrospectively from medical charts and other sources, assigns injury scores and codes, and reviews data for accuracy and completeness. It also generates queries and reports, communicates findings to trauma program stakeholders, and participates in data analysis, quality control, special studies, and required education.

Requirements

• Associate degree in Health Information Technician (HIT).
• Skills in active listening, communication, computer use, confidentiality, organization, and time management.
• Complete the CRT-Abbreviated Injury Scale (AIS) – AAAM Trauma Services-specific (adult and pediatric) course within one year of hire.

Nice To Haves

• Bachelor’s degree in Health Information Administrator (HIA).
• Two years of relevant experience, preferably in a registry setting.
• Knowledge of trauma registry software.
• Upon hire: CRT-Registered Health Information Technician (RHIT) – AHIMA.
• Upon hire: CRT-Registered Health Information Administrator (RHIA) – AHIMA.

Responsibilities

• Assist in organizing and maintaining the data system to meet user needs, reporting requirements, and ACS and State of Michigan trauma center standards.
• Identify trauma patients for inclusion in computerized trauma registries using National Trauma Data Standard Case Inclusion Criteria.
• Collect and abstract patient data from charts according to National Trauma Data Definition Standards, Michigan Trauma Quality Improvement Program definitions, and facility-specific definitions.
• Use standard work and data definitions to accurately abstract required data elements from sources including radiological and operative records.
• Assign and score patient data using Abbreviated Injury Scale (AIS), Injury Severity Score (ISS), and ICD-10 coding systems.
• Review registry data for completeness and accuracy, participate in data validation, and maintain the computerized trauma registry system.
• Perform chart abstraction prospectively and retrospectively.
• Run queries, generate reports, and communicate findings to the Trauma Program Manager, PI nurses, and other appropriate persons.
• Extract pertinent information from data analysis and prepare it for presentation.
• Meet departmental quality standards for multi-source data abstraction.
• Analyze data and prepare reports within study parameters.
• Participate in meetings and assist with quarterly data findings, special studies, and quality control activities as directed by the manager.
• Attend ACS- and State-required education courses within 12 months of employment, including the AAAM AIS course and Trauma Registrar Course.
• Perform other duties as assigned.

Benefits

• Comprehensive benefits package supporting financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv.
• Discounts directory with offers on restaurants, phone plans, spas, and other items.
• Optional identity theft protection, home insurance, and auto insurance.
• Traditional and Roth retirement options with service contribution and match savings.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree