Trauma Registrar - Southside Medical Center

Job Summary:

The Trauma Registrar is responsible for the collection and abstraction of data base elements following the criteria of inclusion for state and/or national trauma databases

Responsibilities:

The Trauma Registrar, reporting directly to the Trauma Nurse Director/Manager, supports the Southside Medical Center’s organizational requirements for verification as a Level III Trauma Center by the Commonwealth of Virginia and the standards set forth by the American College of Surgeons for maintaining a trauma registry database.

• The Trauma Registrar identifies cases for inclusion into the registry data base from various sources including the Master Patient Index, the ED log, and the Trauma Log based upon the guidelines of National Trauma Data Base standard.

• Data abstracted will be from various sources including, but not limited, to the electronic medical record, prehospital databases, autopsies reports, and other data sources, either electronic or not that will substantiate the injured patient

• The Trauma Registrar will assign ICD-10 CM diagnosis codes for diagnosis, comorbidities and complications and ICD-PCS procedure codes for procedures according to the established and published Official Coding Guidelines.

• The Trauma Registrar will assign and verify AIS codes required for severity of illness and probability of survival as established through AAAM manual for AIS coding

• Daily chart review and data entry into the Trauma Registry on established patients who meet criteria will be performed.

• The Trauma Registrar reports all complications and quality issues to the Trauma PI Coordinator as soon as discovered.

• The Trauma Registrar ensures adherence to data management protocols set forth to ensure accurate and timely reporting of data to the organization and regulatory agencies.

• The Trauma Registrar assists with performance improvement activities.

Licensure, Certification, or Registration Preferred for Hire:

Certified Abbreviated Injury Scale Specialist (CAISS),

Certified Specialist in Trauma Registries (CSTR),

Certified Professional Coder (CPC);

Certified Coding Specialist (CCS);

Registered Health Information Administrator (RHIA)

Registered Health Information Technician (RHIT)

Paramedic (EMT-P)

Experience Required:

• One (1) year work experience in registry data abstraction/coding

• Two (2) years experience in medical data abstraction/coding.

• Proficiency with MS Office software including email, MS-Word, and MS-Excel

Preferred:

• Experience in trauma or surgery registry abstraction/coding

• Expert skills using Windows-based software (word processing, spreadsheet, databases)

• Abstracting experience using current requirements by state and national regulatory bodies.

• Experience with medical terminology and acronyms related to diagnosis, procedures, complications and comorbid conditions

• Experience with accurate and timely data entry and verification to maintain high standards of data quality control

Education/training Required:

• Work experience may be considered in lieu of credentials not required by law with HR approval. Work experience must be specific to role such as emergency medical services or healthcare related field.

• Completion of ICD-10 coding courses

• Completion of college-level Anatomy/Physiology courses

• Completion of college-level Medical Terminology courses

Preferred:

• Associate’s Degree in any field that includes two semesters of medical terminology and Anatomy/Physiology, or in medical records coding from an accredited program.

Requirements for continued employment:

• Ongoing data validation scores at the level of 95% accuracy following 12 months of employment and fulfillment of onboarding training requirements. (All levels registrars must maintain)

• Certification by the Association for the Advancement of Automotive Medicine as an Abbreviated Injury Scale Specialist (CAISS) within 24months of hire is required for Trauma Registrars.

As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being—personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What we offer

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)

• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts

• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders

• Tuition assistance, professional development and continuing education support

Benefits may vary based on the market and employment status.

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email View email address on click.appcast.io . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at View email address on click.appcast.io