Trauma Registrar 1

Trauma Registry RegistrarThis position is accountable for the collection, completion, and verification of the accuracy of all patient data collected for the Trauma Registry data collection system. The Registrar creates and maintains clinical and statistical data, AIS coding, ICD10CM codes and abstracts various data elements required ensuring consistency and quality in all aspects of the system through data collection. Responsibilities include daily monitoring of trauma admissions for record identification, abstracting, coding and entering data into the registry.ResponsibilitiesMedical Records and CodingIdentifies the trauma patient medical records. Monitors Emergency Department, Admitting department, and Trauma Team activation pages daily for trauma admissions.Performs concurrent/retrospective abstraction from the trauma patients medical record of relevant information required for the Trauma Registry. Takes initiative for finding lost information. This includes contacting pre-hospital care agencies for missing run sheets.Abstracts core information from patient medical records (including demographic characteristics, history of injuries, diagnostic procedures and treatment, laboratory values and medical complications) and enters select information from trauma patient records to Trauma 1 database.Accurately assigns codes including diagnoses and procedures using ICD-10-CM and AIS coding. Determines the appropriate sequencing of diseases, diagnoses, and surgeries.Maintains patient confidentiality including confidentiality of sensitive hospital performance improvement information.Quality and Performance ImprovementAssists with organization and participates in committees such as: Trauma M&M/Multidisciplinary Peer Review Conference and Trauma Operations meetings.Maintains continuing education related to trauma registry and PI.Other Duties as AssignedPerforms other duties as assigned or requested.QualificationsExperience: 1 year of ICD and/or AIS coding experience. Internship/school training may be substituted for year experience.Education: Associate Degree in Health Science or Allied Health related field or Health Information ManagementTraining: Successful completion of the Trauma Registry Course is required within the first year of employment.About UsOur Lady of the Lake is uniquely capable of caring for a full range of illness or injury, including those that are extremely complex, for both pediatric and adult patients. Our family of services includes:An 988-bed hospital and the area's only Level I Trauma CenterA freestanding Children's HospitalA 545-provider care network covering more than 40 specialtiesTwo free-standing emergency rooms—Our Lady of the Lake Livingston and Our Lady of the Lake NorthA network of nearly 15 urgent care clinicsOutpatient imaging and surgery centersAssumption Community HospitalFranciscan Missionaries of Our Lady UniversityOur Lady of the Lake Ascension, a 78-bed, community hospital providing emergency, inpatient, outpatient, and surgical services to Ascension Parish and surrounding areasWe serve 38,000 inpatients and 820,000 outpatients annually and are committed to building a healthy community through excellence in patient care and education. A part of FMOL Health, Our Lady of the Lake is consistently awarded for compassionate care, clinical expertise, leading edge technology and innovation.