Trauma Registrar

Schuylkill•Easton, PA
•Onsite

About The Position

The Trauma Registrar manages and maintains database abstraction of clinical data from multiple sources, as required by the Pennsylvania Trauma Systems Foundation (PTSF) and the Lehigh Valley Hospital Trauma Division. The role identifies trauma patients, collects and reviews records, abstracts clinical information, and enters required data into trauma registry systems. The registrar also communicates information about trauma audit filters and identified care issues to the Trauma Team.

Requirements

  • High school diploma or GED.
  • One year of experience in a health care-related field, or one year abstracting clinical information into a database, or a billing or coding certificate or degree (in progress or complete).
  • Knowledge of medical terminology, anatomy and physiology, and pathophysiology.
  • Proficiency with Windows computers and data entry.
  • Proficiency in EPIC.
  • Ability to lift and carry 25 pounds; frequent sitting and standing; and frequent keyboard use.

Nice To Haves

  • Knowledge of the Pennsylvania Trauma Systems Foundation (PTSF).
  • Experience with ICD-10 coding.
  • Experience in abstracting, billing, and/or coding.

Responsibilities

  • Abstract and submit all required data elements into the Collector system as required by PTSF.
  • Communicate information to the Trauma Team regarding trauma audit filters or identified care issues.
  • Identify trauma patients admitted to LVH and encountered by the trauma service, and flag them in the EPIC system.
  • Compile data according to NTDS and NTRACS data requirement guidelines.
  • Complete abstracts of all data from admission through discharge for assigned charts.
  • Collect patient records from before and after discharge for review, analysis, and diagnosis entry into the trauma registry database.
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