Trauma Registrar
ATD Technology LLC
Description:
The Trauma Registrar supports the Health System's adult or pediatric Trauma Programs and organizational requirements for verification as Level 1 Trauma Center by maintaining a registry database. This includes identification of cases for inclusion into the registry database, abstraction of data from various sources including the electronic medical record, prehospital databases, and other data sources.
The Trauma Registrar assigns ICD-10 diagnosis codes and other specialized coding (including Abbreviated Injury (AIS) Scores) to procedures, comorbidities and complications according to methodologies and coding rules. This position performs on-going daily chart reviews on all patients and enters data into the Registry.
The Trauma Registrar reports complications and quality issues to the Supervisor. 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.
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification, or Registered Health Information Technician (RHIT) preferred
Experience:
1 or more years of experience in medical data abstracting/coding, Experience in trauma or surgery registry abstraction/coding depending on job assignment 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
Independent action(s) required:
Performs daily chart reviews on specific patients. Assigns ICD-10 and other specialized codes and enters data into the registry. Interprets medical information. The Registrar is assigned patients of basic to moderate complexity including patients with multiple complications, including deaths.
The Trauma Registrar supports the Health System's adult or pediatric Trauma Programs and organizational requirements for verification as Level 1 Trauma Center by maintaining a registry database. This includes identification of cases for inclusion into the registry database, abstraction of data from various sources including the electronic medical record, prehospital databases, and other data sources.
The Trauma Registrar assigns ICD-10 diagnosis codes and other specialized coding (including Abbreviated Injury (AIS) Scores) to procedures, comorbidities and complications according to methodologies and coding rules. This position performs on-going daily chart reviews on all patients and enters data into the Registry.
The Trauma Registrar reports complications and quality issues to the Supervisor. 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.
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification, or Registered Health Information Technician (RHIT) preferred
Experience:
1 or more years of experience in medical data abstracting/coding, Experience in trauma or surgery registry abstraction/coding depending on job assignment 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
Independent action(s) required:
Performs daily chart reviews on specific patients. Assigns ICD-10 and other specialized codes and enters data into the registry. Interprets medical information. The Registrar is assigned patients of basic to moderate complexity including patients with multiple complications, including deaths.
Vacancy posted 2 hours ago
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