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Trauma Registrar, FT Days

Company: Prisma Health
Location: Greenville
Posted on: March 16, 2023

Job Description:

Inspire health. Serve with compassion. Be the difference.Job SummaryTrauma Registrar applies comprehensive knowledge of a anatomy, physiology and medical terminology to identify and collect complex data on the diagnoses, treatment and quality metrics related to trauma patients receiving care at a Level 1 Trauma Center. Requires knowledge of standards required for Trauma Verification by the American College of Surgeons' Committee on Trauma (ACS COT) and application of this knowledge with regard to data acquisition/ management. Performs AIS (Abbreviated Injury Scale) coding and ICD-10 coding of all diagnoses/procedures of trauma patients to be used in state and national benchmarking, quality improvement initiatives and other research/statistical purposes. Data collected by the Trauma Registrar are utilized by physicians, administrators, quality improvement professionals and ACS surveyors to evaluate the quality of care provided to trauma patients. The role is an integral part of the Trauma Team and works closely with the Manager, Trauma Services, Trauma Medical Director and Performance Improvement Coordinators. This position requires the ability to work independently and utilize critical thinking and organizational and time management skills to achieve and maintain high productivity.Accountabilities

  • Accurately identifies patients for inclusion in the trauma registry as specified by the National Trauma Data Standard (NTDS), State Trauma Registry, and Trauma Center.
  • Accurately abstracts clinical data from Emergency Management System (EMS) Patient Care Record (PCR), in-patient medical record, referring hospital records and autopsy reports including patient demographics, injury event, pre-hospital information, injury diagnoses, operative and other procedures, ED data, co-morbidities, complications, patient outcome and financial data as defined by State Trauma Registry, NTDS, and Trauma Quality Improvement Program (TQIP). Accuracy and completion timeliness rates must meet or exceed established department goals.
  • Accurately codes all diagnoses, procedures and external cause/location of the trauma patient using AIS coding and ICD-10 coding following trauma center, State Trauma Registry, NTDS, and TQIP guidelines.
  • Actively participates in the PI process and supports research by gathering data on hospital specific performance and research metrics. Identifes and reports complications, comorbidities, issues and trends identified to team leaders.
  • Performs data validation and correction of registry data at the close of each chart using the registry software validation tool. Performs logic validations monthly and makes corrections. Performs data corrections as needed per validation reports and prior to State and Trauma TQIP data submission. Completes assigned inter-rater validations.
  • Attends and participates in person or by web conference any hospital, state or national meetings as required by hospital. Supervisory/Management ResponsibilityThis is a non-management job that will report to a supervisor, manager, director, or executive.Minimum Requirements
    • Associate's degree in HIM or related field.
    • 1 year coding experience inpatient or outpatient.Required Certifications/Registrations/LicensesRHIT, RHIA, CCS, CCP or other coding certification is preferred. In Lieu Of The Above Minimum RequirementsIn lieu of an Associate's Degree, will accept a coding certification such as: CCS-P, CCS, CCP, RHIT or RHIA. In lieu of 1 year coding experience, will accept 2 years relevant clinical experience.Other Required Skills and Experience
      • Knowledge of anatomy and physiology and medical terminology as well as disease processes. Work ShiftDay (United States of America)LocationGreenville Memorial Med CampusFacility7001 CorporateDepartment70019265 Quality Outcomes & Value Based CareShare your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Keywords: Prisma Health, Greenville , Trauma Registrar, FT Days, Other , Greenville, South Carolina

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