Trauma Registrar

Hennepin Healthcare•Minneapolis, MN

2d•Remote

About The Position

Under supervision by the Trauma Program Manager, the Trauma Registrar is responsible for the detailed review, abstraction and input of patient information into the trauma and burn registry databases. This role involves concurrently and retrospectively collecting data from patient electronic health records and various computer-generated sources for all trauma and burn patients admitted or referred to Hennepin Healthcare HCMC and/or with a Trauma Team Activation. The registrar gathers accurate information to determine patient eligibility, enters data into registries, and encodes it using various coding systems including ICD-10, trauma registry coding, abbreviated injury scoring (AIS), injury severity scoring (ISS), National Trauma Data Standards (NTDS) Data Dictionary, American Burn Association (ABA) Data Dictionary, and MNTrauma Data Dictionary.

Requirements

Completion of an Associate’s Degree or Bachelor’s Degree in Health Information Management
An approved equivalent combination of education and work experience that includes the following: 2-3 years of experience with medical terminology, anatomy, coding, data abstraction and data management
Experience and working knowledge of the ICD-10 coding classification system, with the ability to search for all appropriate codes using the index
Successful completion of the following courses within 6 months of employment (if not done previously): ATS Trauma Registrar Course, Trauma ICD-10 Diagnosis and Procedure Coding Course, AAAM Injury Severity Scoring Course
Computer skills with proficiency in Microsoft programs and EMR software
Abide by strict confidentiality regulations as defined by HIPAA and hospital policy
Ability to research information
Critical thinking and problem-solving skills

Nice To Haves

RHIT (Registered Health Information Technician) or RHIA (Registered Health Information Administrator)
Certified Abbreviated Injury Scale Specialist (CAISS)
Certified Specialist in Trauma Registry (CSTR)
Trauma Registrar experience at a Level I or II Trauma Center
Burn Registrar experience at a verified Burn Center
Successful completion of the ATS Trauma Registrar Course
Successful completion of a Trauma ICD-10 Diagnosis and Procedure Coding Course
Successful completion of AAAM Injury Severity Scoring Course
Working knowledge of ESO TraumaBase, ESO Burn Registry, or BData/BCQP burn registry databases

Responsibilities

Concurrently and retrospectively, collects data from patient electronic health records and a variety of computer-generated sources, on all trauma and burn patients admitted or referred to Hennepin Healthcare HCMC and/or with a Trauma Team Activation
Gathers accurate information to process records and determines trauma or burn patient eligibility inclusion criteria and accurately enters data into the trauma and/or burn registries
Encodes the data, including ICD-10 coding, trauma registry coding, abbreviated injury scoring (AIS) and injury severity scoring (ISS), National Trauma Data Standards (NTDS) Data Dictionary, American Burn Association (ABA) Data Dictionary, and MNTrauma Data Dictionary, using pre-established guidelines
Record keeping such as, weekly time studies, tracking progression of completed and uncompleted cases, and continuing education credits
Accurate data entry of all injuries, procedures, complications and required data fields as established by the NTDS, ABA, and MNTrauma data dictionaries, and HHS-HCMC specific trauma registry data elements
Maintenance of code files and data dictionary
Actively participates in data validation processes for accuracy and consistency of abstracting
Participates in TQIP webinars, monthly education experiences, regularly scheduled registrar meetings, and Trauma Services huddles and staff meetings
Attends Minnesota Trauma Registry Alliance (MTRA) meetings as appropriate
Assists with preparation for trauma and burn center verification site visits
Assists with quality projects and research activities as directed
Additional responsibilities related to the Trauma Registry as assigned by the Lead Trauma Registrar, Trauma Program Manager, Trauma Medical Director, Trauma Data Analyst, Trauma PIPS Coordinators, Pediatric Trauma Coordinator or Burn Program Coordinator