Trauma Registrar-Full Time-Variable

Cape Fear Valley Health

1d•Onsite

About The Position

Collect, compile and maintain statistical database of trauma patients admitted to the health system. Maintain registry for the North Carolina Trauma Registry, the National Trauma Registry and the health system.

Requirements

High school diploma or equivalent required
Proficiency in reading, writing, and speaking the English language
Knowledge of growth and development and skills necessary to provide age appropriate care for the following patient categories: infant (0-12months), toddler (13-30 months), preschooler (31 months-5 years), school age (6-12 years), adolescent (13-18 years), young adulthood (19-30 years), middle adulthood (31-65 years) and older adulthood (>65 years)
Familiarity with medical terminology
Ability to work independently
Excellent organizational skills
Basic computer skills
Knowledgeable of the physiological, psychosocial and spiritual needs of the patients typically served
Ability to hear and express verbally and in writing
Manual dexterity and visual acuity
Ability to sit and stand for long periods
Ability to bend and lift using good body mechanics
Position may involve skin, eye mucous membrane, or parenteral contact with blood or other potentially infectious material

Nice To Haves

Medical terminology and coding certification preferred
1 year chart review experiences for QI, UR or coding preferred
Familiarity with ICD-10-CM and ISS codes preferred

Responsibilities

Identify trauma patient admissions daily, complete data collection sheets and maintain patient log
Initiate and complete Trauma Registry information, including demographics, injury information, complications and other defined data points
Assess accuracy of data through validation studies as outlined by the State of North Carolina
Participate in State Registry meetings
Provide information concerning trauma statistics and quality assurance as requested
Participate in trauma research
Design and revise forms for data collection
Prepare reports needed to evaluate trauma care
Maintain Trauma Registry documents and confidentiality of data
Other duties as assigned