Trauma Registrar

St. Josephs Medical Center•Houston, TX

18h

About The Position

Performs functions associated with maintaining the hospital Trauma Registry through data abstraction, data entry assignment of appropriate ICD-10 codes and Abbreviated Injury Scale (AIS) and electronic data submission to Texas Department of State Health Services (DSHS) Trauma Registry and the Southeast Texas Regional Advisory Council (SETRAC) Regional Trauma Registry and National Trauma Data Bank (NTDB).

Requirements

High School Diploma or equivalent.
Completion of Association for the Advancement Automotive Medicine (AAAM) Abbreviated Injury Scaling (AIS) course.
Typing and office management skills which include organization necessary to perform multiple tasks.
Ability to accurately take notes and transcribe meeting minutes.
Proficient using Microsoft Office, including Excel Spreadsheet.

Nice To Haves

American Trauma Society (ATS) Basic Trauma Registrar Core Course preferred upon hire; if does not have will complete within one year.
Certification Abbreviated Injury Scaling (CAISS) preferred upon hire.
Bi or Multilingual
ICD-10, AIS and ISS experience.
Previous medical records experience.

Responsibilities

Consistently supports and communicates the Mission, Vision, and Values of St. Joseph Medical Center.
Upholds the Standards of Conduct and Corporate Compliance.
Compiles reports as directed by Trauma Program Leadership
Collaborates with inter- and intra-professional colleagues to ensure quality outcomes.
Completes annual education requirements.
Promotes of a culture of patient safety which results in the identification and reduction of unsafe practices.
Identifies risks and hazards to patients through various risk assessments, with actions taken to mitigate patient harm.
Accurately assign injury codes and procedure codes using ICD-10 coding.
Maintain an up-to-date trauma registry with quarterly uploads to DSHS State registry, SETRAC regional trauma registry and yearly to the NTDB.
Prepare reports on all drowning for submission to DSHS State registry.
Assist in the preparation for licensing and regulatory surveys for Trauma Designation.
Provides administrative support in typing, word processing, photocopying in trauma-related committees.
Other duties as assigned
Enhances the patient experience by fostering a positive relationship with customers.
Contributes to improving Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) results.
Identify trauma patients based on ICD-10 diagnosis codes for S00-S99, T07, T14, T20-T28, T30-T32 and T79.A1-T79.A9 for chart abstraction using various hospital documentation sources.
Performs daily chart abstraction on trauma patients and enters data into the trauma registry to include patient demographic information, dates of service, injury details, pre-hospital data, diagnoses, procedural and treatment information.