Trauma Registrar

Omega Healthcare Solutions • Boca Raton, FL

12d

About The Position

The Trauma Registrar performs daily abstraction of trauma cases into the trauma registry database. The role reviews trauma admission records to identify the relevant population, analyzes records for quality assurance against trauma standards recommended by governing bodies and regulatory groups, and abstracts and codes trauma data using required ICD and AIS coding. Registry data is drawn primarily from inpatient trauma cases and also includes facility criteria.

The Trauma Registrar reports audit-filter inconsistencies to the Program Coordinator or Trauma Program Manager through periodic quality assurance reports and the abstraction process, and produces other reports as directed. The role reviews patient care plans and records for events that fail audit filters, meet medical quality improvement indicators, or otherwise warrant review or corrective action. Responsibilities also include maintaining an abstraction log, compiling monthly reports and statistics for designated groups, participating in research planning and execution, helping solve departmental and organizational issues, and entering follow-up or updated information from autopsy reports received after an abstract is completed.

The position requires compliance with company policies and procedures, including those related to HIPAA and compliance.

Requirements

• Five years of trauma registry experience.
• Completion certificate for the ATS trauma registrar course.
• Completion certificate for the AIS 2015 course.
• ICD-10 course completion certificate obtained within the last five years.
• Experience with an ACS Level I trauma center.

Nice To Haves

• CSTR or CAISS certification.
• Medical experience, such as RN, EMT, or PT.

Responsibilities

• Perform daily abstraction of trauma cases into the trauma registry database.
• Review trauma admission records to identify the relevant population.
• Analyze records for quality assurance against trauma standards recommended by governing bodies and regulatory groups.
• Abstract and code trauma cases using required ICD and AIS coding, applying trauma data points in the registry based primarily on inpatient cases and also on facility criteria.
• Inform the Program Coordinator or Trauma Program Manager of relevant trauma audit-filter inconsistencies through periodic quality assurance reports and the abstraction process.
• Produce other quality assurance reports as directed.
• Review patient care plans and records for events that fail audit filters, meet medical quality improvement indicators, or otherwise indicate a need for review or corrective action.
• Maintain a log documenting abstraction of all records.
• Compile monthly reports and summarize statistical information for designated groups.
• Participate in planning and execution of research projects.
• Assist with problem solving departmental and organizational issues.
• Enter follow-up or updated information from autopsy reports received after completion of an abstract.
• Perform duties in compliance with company policies and procedures, including those related to HIPAA and compliance.

Benefits

• Health coverage
• Dental coverage
• Vision coverage
• Voluntary insurance options
• 401(k) plan with employer match
• Professional development opportunities
• Paid time off
• Holiday pay
• Eligible employees may have access to bonus programs, commissions, or other variable incentive plans

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed