Trauma Registry Analyst FT, Day

Prisma Health•Greenville, SC

About The Position

The Trauma Registry Analyst supports the Prisma Health Trauma Program and organizational requirements for verification and designation as a Trauma Center by the State Department of Public Health and the American College of Surgeons Committee on Trauma (ACSCOT). The Analyst is responsible for trauma registry data abstraction, entry, and coding, applying knowledge of anatomy, physiology, and medical terminology to collect complex information on diagnoses, treatment, and quality metrics for trauma patients receiving care at a Prisma Health Trauma Center. The role requires knowledge of State and National Trauma Standards, including the National Trauma Data Standard (NTDS), and uses that knowledge to identify patients, abstract data, and recognize comorbidities and complications. The Analyst performs ICD-10 and Abbreviated Injury Scale (AIS) coding for trauma patient diagnoses and procedures. Registry data supports administrators, performance improvement coordinators, researchers, and ACS surveyors in evaluating care quality, statistical analysis, performance improvement, quality improvement, and research. The role requires critical thinking, organization, and time management to maintain productivity and accuracy.

Requirements

  • Associate's degree in HIM or a related healthcare field is preferred.
  • One year of trauma registry, coding, HIM, or relevant healthcare-related experience.
  • Complete an AAAM course (AIS coding) and Trauma Registry Course within one year of hire.
  • Complete an ICD-10 Coding course within one year of hire.
  • Knowledge of anatomy, physiology, medical terminology, and disease processes.
  • In lieu of the stated education and experience requirements, candidates without experience may be considered if they hold an associate's degree or higher in HIM or a related healthcare field.

Nice To Haves

  • CSTR (Certified Specialist in Trauma Registries) certification from the American Trauma Society or CAISS (Certified Abbreviated Injury Scale Specialist) certification from the Association for the Advancement of Automotive Medicine (AAAM).
  • AHIMA or AAPC coding certification.
  • RHIT, RHIA, or CCS credential.

Responsibilities

  • Identify patients for inclusion in the trauma registry according to NTDS, State Trauma Registry, and Trauma Center requirements.
  • Abstract clinical data accurately from EMS Patient Care Records, inpatient medical records, referring hospital records, and autopsy reports. Data includes demographics, injury events, pre-hospital information, injury diagnoses, procedures, emergency department data, comorbidities, complications, outcomes, and financial information.
  • Meet or exceed established department goals for data accuracy, completeness, and timeliness.
  • Code trauma patient diagnoses, procedures, and external causes and locations using AIS and ICD-10 in accordance with applicable trauma center, State Trauma Registry, NTDS, and TQIP guidelines.
  • Participate in the performance improvement process and support research by gathering hospital-specific performance and research metrics.
  • Identify and report complications, comorbidities, issues, and trends to the leader.
  • Validate and correct registry data at chart close using the registry software validation tool; perform monthly logic validations and make corrections.
  • Correct data as needed based on validation reports and before State and Trauma TQIP data submissions.
  • Complete assigned inter-rater validations.
  • Perform other duties as assigned.
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