Trauma Registrar

Cleveland Clinic•Slaton, TX

1d•Hybrid

About The Position

Join Cleveland Clinic’s Mercy Hospital where research and surgery are advanced, technology is leading-edge, patient care is world-class, and caregivers are family. Officially becoming a full member of the Cleveland Clinic Health System in 2021, Mercy Hospital offers a wide variety of medical specialties to the communities in and around Stark County. Here, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. Under the direction and supervision of the Trauma Medical Director and Trauma Program Manager, the Trauma Registrar abstracts and codes medical record data on trauma patients according to guidelines established by the American College of Surgeons, Trauma Quality Improvement Program (TQIP), the State of Ohio Trauma Registry, and the regional trauma system. The Registrar performs all data collection, abstraction and entry of all trauma patients into the trauma registry and assigns ICD-9/ICD-10, ISS, AIS, E-Codes, and Trauma Scores. This role requires someone who can multitask in a fast-paced department. This is an excellent opportunity for someone who is looking to join a supportive team while working a hybrid schedule. The work culture in this department is positive and communication is clear between all team members. You will be supported by leadership and professional development is encouraged. Cleveland Clinic will assist you by offering flexibility with your schedule, work life balance, and tuition reimbursement. A caregiver in this position works a hybrid schedule from 7:00AM – 3:30PM or 8:00AM – 4:30PM. One day per week must be worked on-site. A caregiver who excels in this role will: Complete identification of patient records for entry into the trauma registry. Collect, abstract and accurately enter trauma patient information into the trauma registry in a timely manner. Complete final entry of patient data no later than 60 days post discharge. Participate in data validation and maintain department standard. Comply with all internal/external reporting requests and requirements. Assist in the preparation for American College of Surgeons trauma center verification. Ensure data is abstracted and submitted to meet the American College of Surgeons and State of Ohio data submission deadlines. Close charts according to the American College of Surgeons guidelines. Complete 8 hours of trauma registry related continuing education per year as recommended by the American College of Surgeons. Obtain required certifications/education as directed by the American College of Surgeons (AAAM AIS, trauma registry and ICD 10 or updated versions).

Requirements

Knowledge of and skills using Epic and Excel

Nice To Haves

Associate’s Degree in healthcare OR two years of experience including medical terminology
Certified Specialist in Trauma Registry (CSTR), Registered Information Technician (RHIT) or Certified Coding Specialist (CCS)
Previous data registry experience including knowledge in case abstraction, data entry, ICD-9 or ICD-10 coding, and AIS/ISS scoring
RHIT or coding background
Previous experience as a Trauma Registrar
Background in anatomy and medical terminology
Knowledge of TraumaBase

Responsibilities

Complete identification of patient records for entry into the trauma registry.
Collect, abstract and accurately enter trauma patient information into the trauma registry in a timely manner.
Complete final entry of patient data no later than 60 days post discharge.
Participate in data validation and maintain department standard.
Comply with all internal/external reporting requests and requirements.
Assist in the preparation for American College of Surgeons trauma center verification.
Ensure data is abstracted and submitted to meet the American College of Surgeons and State of Ohio data submission deadlines.
Close charts according to the American College of Surgeons guidelines.
Complete 8 hours of trauma registry related continuing education per year as recommended by the American College of Surgeons.
Obtain required certifications/education as directed by the American College of Surgeons (AAAM AIS, trauma registry and ICD 10 or updated versions).