Trauma Registrar
About The Position
The Trauma Registrar performs daily abstraction of trauma cases into the Trauma registry database. The role reviews trauma admission records to identify the patient population and analyzes records for quality assurance against trauma standards recommended by governing bodies and specified by regulatory groups. The registrar abstracts and codes records using required ICD and AIS coding and enters trauma data points, primarily from inpatient trauma cases, while also applying facility criteria. The position reports relevant trauma audit-filter inconsistencies to the Program Coordinator or Trauma Program Manager through the abstraction process and periodic quality assurance reports, and produces other quality assurance reports as directed. It reviews patient care plans and records for events that fail audit filters, medical quality improvement indicators, or otherwise warrant review or corrective action. The registrar maintains an abstraction log, compiles monthly reports, summarizes statistical information for designated groups, and participates in planning and executing research projects. The role also assists with department and organizational problem solving and enters follow-up or updated information from autopsy reports received after an abstract is completed. All duties must comply with Company policies and procedures, including those related to HIPAA and compliance.
Requirements
- Five years of trauma registry experience.
- Completion certificate for an ATS trauma registrar course.
- Completion certificate for an AIS 2015 course.
- Completion certificate for an ICD-10 course within the last five years.
- Experience with an ACS Level I trauma center.
Nice To Haves
- CSTR or CAISS certification.
- Medical experience, such as RN, EMT, or PT.
Responsibilities
- Abstract trauma cases into the Trauma registry database daily.
- Review trauma admission records to identify the patient population.
- Analyze records for quality assurance against applicable trauma standards and regulatory requirements.
- Abstract and code records using required ICD and AIS coding, and apply trauma data points and facility criteria.
- Inform the Program Coordinator or Trauma Program Manager of trauma audit-filter inconsistencies through periodic quality assurance reports and the abstraction process.
- Produce additional quality assurance reports as directed.
- Review patient care plans and records for events that fail audit filters, meet medical quality improvement indicators, or otherwise need review or corrective action.
- Maintain a log documenting the abstraction of all records.
- Compile monthly reports and summarize statistical information for designated groups.
- Participate in planning and execution of research projects.
- Assist with department and organizational problem solving.
- Enter follow-up or updated information from autopsy reports received after completion of an abstract.
- Perform duties in compliance with Company policies and procedures, including HIPAA and compliance requirements.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
