Trauma Registrar - OMC, Jeff Hwy - FT

Ochsner Health•New Orleans, LA

About The Position

Manages trauma registry activities and facilitates continuous quality assessment and improvement in trauma care through data collection, management, analysis, and reporting. Abstracts accurate data, compiles and verifies statistical reports, identifies noncompliance issues, and reports them. The role reviews emergency department trauma records, scores injuries, supports quality assurance and performance improvement, and contributes to trauma program reporting and accreditation activities. The position requires an associate's degree in medical records administration, health information systems, or a related field. A bachelor's degree in one of these areas is preferred. Clinical experience and three years of coding experience are preferred. A current RHIT, RHIA, or CSTR certification is required, with the certification to be obtained within six months of hire if not already held. The role requires knowledge of American College of Surgeons standards, trauma registry and injury scoring methods, and coding processes; analytical, computer, communication, and interpersonal skills. Work is classified as Light Work, with routine duties involving no exposure to blood, body fluid, or tissue and no emergency care or first aid. Because the role is in a healthcare setting, there may be occupational exposure risk from hazardous medications or hazardous waste.

Requirements

  • Associate's degree in medical records administration, health information systems, or a related field.
  • Current RHIT, RHIA, or CSTR certification; certification must be obtained within six months of hire.
  • Knowledge of American College of Surgeons standards of compliance and ability to maintain the organization's Level One Trauma Certification.
  • Knowledge of and ability to use the Injury Severity Index and Abbreviated Injury Scale (AIS).
  • Analytical skills and ability to interpret actions impacting patients.
  • Knowledge of coding processes and how coding affects monitored outcomes.
  • Proficiency with computers, software, and web-based applications.
  • Effective verbal and written communication skills and ability to present information clearly and professionally.
  • Strong interpersonal skills.

Nice To Haves

  • Bachelor's degree in medical records administration, health information systems, or a related field.
  • Clinical experience.
  • Three years of coding experience.

Responsibilities

  • Reviews emergency department trauma records and assigns scores using the Injury Severity Index.
  • Collects, interprets, summarizes, reports, and disseminates trauma data, ensuring accurate abstraction through ongoing quality assurance and data validation.
  • Prepares data analyses for presentations at monthly Trauma Care Committee meetings.
  • Identifies clinical outliers for the monthly quality assurance and performance improvement process.
  • Maintains the Trauma Registry Policy and Procedure Manual.
  • Participates in focus studies and prepares for the American College of Surgeons Level One Trauma Survey as needed.
  • Keeps current on applicable laws, accreditation standards, and regulatory requirements and ensures compliance.
  • Reports known or suspected unethical or questionable conduct and patient or employee safety, privacy, or other compliance concerns.
  • Performs other related duties as required.
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