Trauma Registrar

Brown Medicine

9d•$24 - $40•Onsite

About The Position

The Trauma Registrar is an integral member of the Trauma Registry. As the only ACS verified Level I Trauma Center in the state, we provide essential trauma care to over 4,200 patients admitted with traumatic injuries every year. The Trauma service relies on the Trauma Registry to support the performance improvement process that is integral to our hospital’s American College of Surgeons verification status. Under the direction of the Trauma Program Manager, the registrar assures accurate, timely, and comprehensive data collection, coding and entry into the TraumaOne database. The chief responsibility of a registrar is to enter into the TraumaOne database the documented injuries and care provided to trauma patients admitted to the hospital.

Requirements

High School graduate or equivalent required.
Solid knowledge of anatomy required.
Strong medical terminology background required.
At least 2 years of healthcare experience required.
Knowledge of database management and Microsoft Office Suite required.
Ability to represent the organization and serve consumers in a professional manner and promote a positive image of the organization.
Work requires high degree of initiative, judgment, discretion, and ability to function independently.
Must be detailed oriented and possess strong organizational skills.

Nice To Haves

Associate’s or bachelor’s degree in Medical Record Management or related health science field preferred.
Completion of Trauma Registrar course within 9 months of hire.
Certification in Injury Severity Index Scoring/AIS within 1 year of employment.
CCA or CCS certified highly desirable.
Solid knowledge of ICD-10- CM preferred.

Responsibilities

Collection, abstraction and entry of clinical data of admitted trauma patients into the TraumaOne database following the Data Entry Policy within the Trauma Registry.
Identification and entry of patients into the trauma database utilizing trauma database inclusion criteria.
Assignment of diagnosis and procedural codes to trauma patient’s injuries utilizing ICD-10 and AAAM coding systems.
Completion of at least 80% of cases within 60 days of patient discharge.
Participation in the data validation process to ensure the integrity of the collected data, aiming for a 95% or better accuracy rate.
Updating data dictionary or other reference documents that facilitate increased productivity and accuracy.
Collaboration with the Trauma Program Manager in maximizing the efficiency of abstracting required data elements from the medical record and other available sources by reporting critical gaps in medical record documentation.
Active participation in ongoing preparation for the American College of Surgeons (ACS) site visit.
Collaboration in a professional manner with all members of the healthcare team to promote the goals and objectives of the Division of Trauma.
Participation in professional development/educational activities to ensure advancement of skills and knowledge of trauma care and data information systems.
Compliance with all institutional and departmental policies, procedures and objectives.
Other duties as assigned by the Trauma Program Manager.