Trauma Registrar Clinical Data

Corewell Health • Grand Rapids, MI

2d • Onsite

About The Position

Identifies, abstracts, and maintains records of applicable patients in a registry data system; analyzes registry data and shares information in accordance with professional ethics; and preserves the confidentiality and security of patient data. The position supports registry data users, State and National reporting, and trauma center verification and designation requirements.

The role includes prospective and retrospective chart abstraction, data validation, registry maintenance, queries, report generation, and communication of findings to the Trauma Program manager, PI nurses, and other appropriate individuals. The registrar participates in meetings, quarterly reporting, special studies, and quality control activities. Required education courses include the AAAM AIS course and Trauma Registrar Course within 12 months of employment. Other duties may be assigned.

Requirements

• Associate degree in Health Information Technician (HIT).
• Skills in active listening, communication, computer use, confidentiality, organization, and time management.
• Complete the Trauma Services-specific CRT-Abbreviated Injury Scale (AIS) course from AAAM, covering adult and pediatric content, 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) certification from AHIMA.
• Upon hire: CRT-Registered Health Information Administrator (RHIA) certification from AHIMA.

Responsibilities

• Assist in organizing and maintaining the data system to support registry data users, State and National reporting, ACS Level I Trauma Center Verification, and State of Michigan Level III or IV Designation.
• Identify trauma patients for inclusion in computerized trauma registries using National Trauma Data Standard Case Inclusion Criteria.
• Collect trauma patient chart data 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 prospective and retrospective chart abstraction.
• Run queries, generate reports, communicate findings, and prepare pertinent data analysis for presentation.
• Meet departmental quality standards for multi-source data abstraction and prepare analyses and 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 deals 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 matching savings.

What This Job Offers

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