Trauma Registrar
You manage the trauma registry database system for the Trauma Services department.
Collects, compiles and presents data regarding the incidence, severity and causes of traumatic injuries, ensuring accuracy, timeliness and accessibility of information.
Maintains clinical and/or research databases for identified programs/ specialty clinics.
Collects data used for multiple purposes, which may include process improvement activities and clinical effectiveness/ research studies.
May prepare information for patient/family education and/ or participate in community outreach activities.
"These Principal Accountabilities, Requirements and Qualifications are not exhaustive, but are merely the most descriptive of the current job.
Management reserves the right to revise the job description or require that other tasks be performed when the circumstances of the job change (for example, emergencies, staff changes, workload, or technical development).
JOB ACCOUNTABILITIES:TRAUMA REGISTRY:
Identifies patients with diagnosis meeting Trauma criteria; abstracts medical records for trauma registry information, coding diagnoses according to scoring data.
Submits trauma registry data to the county/state as appropriate.
Maintains all quality assurance issues related to the registry.
Produces reports from the trauma registry for injury research, performance/quality improvement and administration.
EXPERIENCE:1 year of recent relevant experience.
SKILLS AND KNOWLEDGE : Proficient knowledge of ICD-9 coding. Ability to review and abstract information from the medical record and/or various external database.
Knowledge of medical terminology, anatomy, and physiology sufficient to evaluate, abstract, and code specific diagnosis and treatment information from patient medical records.
Data abstraction principles and guidelines, basic math and ability to perform basic analytical calculations.
Must have working knowledge of regulations regarding confidentiality, release of medical information