Trauma Registry Specialist, Trauma Registration, Full-Time, Days

MarinHealth•Greenbrae, CA

23h•Onsite

About The Position

MarinHealth is an integrated, independent healthcare system in the North Bay, affiliated with UCSF Health, with a 327-bed Medical Center and 55 primary care and specialty clinics. It is recognized for high quality and growth. The Trauma Registry Specialist is responsible for maintaining and completing current and accurate Trauma Registry databases for inpatient and outpatient trauma patients. This includes patient-care information from pre-hospital, emergency room, hospital course, and final outcome phases of care. Work is performed within established departmental guidelines, with decisions reviewed when guidelines require extension or interpretation, or when solutions affect the Department's work. Guidelines include policies, procedures, and precedents of the Department and MarinHealth Medical Center.

Requirements

High school graduate or equivalent
1-2 years’ experience in abstracting data from medical records, preferably ED/Trauma related
Demonstrated ability to understand medical terminology and the ability to identify and abstract medical data from paper and electronic medical records
Demonstrated ability to work accurately work accurately under department timelines, exercising good judgement with minimal supervision
Strong typing and computer skills (data entry/retrieval techniques)
Demonstrated computer and software troubleshooting skills, including spreadsheets and word processing
Ability to read and interpret written and transcribed documents in the medical record, and ability to enter complete data into on-line computer system
Excellent written and verbal communication/interpersonal skills and the ability to deal with individuals of varying comprehension levels
Must possess tact and diplomacy skills to obtain information from a variety of hospital and public sources
Demonstrated ability to analyze and interpret data

Nice To Haves

College course work in business, computers, data-entry, or related fields is desirable
Experience in data collection using ICD-10 clinical manager codes preferred
Certified Tumor Registrar (CTR) preferred at hire.

Responsibilities

Understands how this position’s duties relate to the overall functions of the hospital and to the provision of high-quality service
Demonstrates flexibility, adaptability, and professional behavior when faced with changes and challenges
Demonstrates the ability to assess a situation, consider alternatives, develop options, and choose an appropriate course of action
Seeks guidance and direction as necessary for performance of duties. Assesses appropriate resources prior to making decisions
Demonstrates a personal commitment to continuous quality improvements
Takes responsibility for ongoing personal development, professional growth, and continuing education
Demonstrates customer/guest relations skills (such as active listening, paraphrasing, empathy, and positive communication) with internal and external contacts
Develops and maintains cooperative working relationships with all members of the department
Develops and maintains cooperative working relationships with facility personnel outside of the department
Interacts with patients, families, visitors, physicians, and others in a courteous manner
Maintains the confidentiality of patient and facility records and information
Organizes activities to achieve maximum productivity and efficiency during assigned shift
Completes routine and priority tasks within established time frames
Demonstrates the ability to recognize and deal with priorities
Performs duties in an independent manner with minimal supervision or direction
Readily offers to assist others
Demonstrates a thorough understanding of the facility’s fire, safety, and disaster procedures, as contained in the applicable facility manuals, and can verbalize/demonstrate role
Follows safety procedures, operates equipment, and performs job-related duties in a safe manner which prevents accidents
Attends and actively participates in department and facility meetings and classes, including fire, safety, and disaster programs
Observes the department dress and grooming code and wears facility identification badge
Promptly reports unsafe conditions, and all required repairs or maintenance on equipment, to appropriate staff members
Maintains a clean and safe work environment
Demonstrates use of correct body mechanics in performing work
Sick time or personal days off are within Hospital/Department guidelines
Provides proper notification of absence or tardiness within time frames
Is ready to begin work at start of assigned shift
Follows through on work not previously completed and reports incomplete assignments appropriately
Attends to personal affairs on own time to avoid disrupting the work schedule
Completes time card accurately by the end of the pay period
Abstracts data and data input supporting registry concurrency
Abstracts data from multiple sources, including the patient medical record, admission logs and nursing records
Abstracts from various patient records, required information including treatment during hospitalization, complications and hospital discharge status
Inputs into database information on identified hospital course variables and hospital discharge variables
Reviews data input to assure accuracy and completeness of Registry records
Performs data validation for accuracy and completeness of registry records. Reviews medical record, interprets information, and enters complete and accurate data into on-line computer system
Submits requests to Medical Records Dept. for chart retrieval
Assists in the management of daily operations of the trauma registry
Assists with statistical reports in support of Trauma Program Operations and the Trauma Performance Improvement Program
In collaboration with the Trauma Specialist, prepares required data for EMS/Trauma Committees for Marin County, State and Regional Trauma Committees
Assists Trauma Specialist in preparing reports to support ongoing program planning
Provides data input and reports to support and direct the Process Improvement Programs
Monitors Compliance with Trauma Service standards of Patient Care
Audits Trauma Registry in compliance with American College of Surgeon Standards
Reports performance improvement issues to Trauma Program Manager/Trauma Director
Follows through on research of performance improvement issues identified
All other duties as assigned.