Trauma Registrar - Oklahoma Children's Hospital

OU Health•Oklahoma City, OK

About The Position

General Description: The Trauma Registrar is responsible for reviewing and analyzing data within the medical record and trauma care reports reflecting health care provided to patients to ensure comprehensive quality care and identification of performance gaps.

Requirements

High School Diploma or GED required.
0-3 years of experience required.
Must have previously attended, or attend within 2 years of hire the following courses: The American Trauma Society’s Trauma Registrar Course or equivalent provided by a state trauma program, The Association of the Advancement of Automotive Medicine’s Injury Scaling Course, and ICD-10 Coding Course or standards as set forth by the American College of Surgeons. Effective September 2023, ICD-10 Coding Course will be renewed every 5 years.
Understanding of Medical Terminology required.
Utilization of Electronic Medical Records.
Knowledge of principles and practices of trauma registry and medical records and policies and procedures.
Knowledge of indexing, classification and staging systems.
Will need to know medical terminology, anatomy and physiology pertaining to trauma processes.
Database management skills, especially in abstracting and coding trauma related data from medical records and laboratory reports that are computerized.
Knowledge of report writing.
Good computer and interpersonal skills.

Nice To Haves

Experience in coding, abstracting data, or emergency room activities preferred.
Fully remote positions require a minimum of one (1) year trauma registrar experience.

Responsibilities

Has working knowledge of the American College of Surgeons and Oklahoma State Department of Health inclusion criteria and ability to review reports and/or charts for possible candidates and select qualifying patients
Accurately Codes and reports treatment of cases using the current International Classification of Diseases (ICD-10 CM) and Abbreviated Injury Scale (AIS) Coding
Reviews care provided and identifies variations in the process or outcome of care provided
Responsible for the data management, case findings, abstracting, data retrieval and analysis
Ensures that all functions of the registry are met using the guidelines set forth by the American College of Surgeons, the National Trauma Data Bank (NTDB), and the Trauma Quality Improvement Program (TQIP)
Reports statistics to physicians, administration and outside agencies upon requests
Assist with information regarding the Trauma Registry
Meets established guidelines for record completion in the Trauma Registry
Participates in inter-rater validation of abstracted patient records
Performs other duties as assigned