Trauma Registrar- Full-Time Day Shift- HybridThe Trauma Registry is a complex injury and disease specific database that is integral to the operations of the trauma center. Quality Trauma Registry data must be collected by every trauma center and is critical to the success of a trauma program. The Trauma Registrar is responsible for the management of all components of the Trauma Registry, including data collection, data abstraction, data entry, data retrieval/statistical conversion, and data validation. The Trauma Registrar Position reports directly to Trauma Program Manager. Key responsibilities of the role include: Data abstraction/entry, database management, inter-rater reliability and data validation, uploading data to state and national Trauma Registries, analysis of data frequency submission reports, monitoring the data base for data integrity and mapping inconsistencies as well as error correction and report writing. Level I and II Trauma Centers: Trauma Registrars at Level I and II trauma centers are responsible for coding extensive injury complexes, procedures, complications, and prolonged hospitalizations. They are also responsible for coding additional data elements for the Trauma Quality Improvement Program (TQIP) and participate in required Georgia Quality Improvement Program (GQIP) state drill down exercises. The Trauma Registrar is an integral member of the Performance Improvement process within the Level I and II trauma center and assist with data re-review upon TQIP Benchmark report receipt biannually. Level III and IV Trauma Centers: Trauma Registrars at Level III and IV trauma centers are not responsible for coding additional data elements for TQIP (unless the Level III center is a participating TQIP facility). Patients with extensive injury complexes receive initial stabilization and are typically transferred out to Level I or II trauma centers when resources at these facilities are exceeded. The admitted, non-transferred out, patient population at the Level III and IV trauma centers usually have minimal procedures, lessened injury complexes, and shorter length of stays for coding. Burn Centers: Burn/Trauma Registrars are responsible for coding data elements in both the burn and trauma registries. The burn registry requires less data entry elements than the trauma registry, however, patients within this registry tend to have complex coding requirements secondary to necessitating multiple procedures and prolonged hospitalizations. Trauma Registry data is vital to daily operations, process improvement, benchmarking and improving the quality of trauma care delivery. Injury Prevention and Outreach events are developed based on the trauma population captured within the Trauma Registries. Ongoing trauma operations including staffing for trauma clinical care units and Trauma Surgery staff is based on trauma volume and trends. There are regulatory and statutory requirements for Trauma Centers to maintain high quality Trauma Registries. Trauma Registrars must maintain proficiency in anatomy/physiology, in health information technology, trauma specific software, and knowledge of a variety of trauma scoring/scaling methods is essential. The Trauma Registrar must also have knowledge of two independent coding systems: ICD-10-CM/PCS and Injury Severity Coding (AIS). The Trauma Registrar must also learn EMS procedures and terminology, nursing procedures and terminology, radiology terminology, and understand disease processes for capturing comorbid conditions and complications for the registry. They should also have knowledge of ICD-9-CM/PCS for reports and historical data. Core Responsibilities and Essential Functions: Data Abstraction/ EntryData Validation and Inter-rater Reliability Database Management Data Extraction and Reporting Other Duties Required Minimum Education: High School Diploma / GED General Preferred and Associates Health Information Management Preferred Required Minimum Experience Minimum 2 years Trauma Registry coding experience with RHIT Required or Minimum 3 years Trauma Registry coding experience without RHIT Required Required Minimum Skills Proficient in computer entry and data extraction; ICD-10CM and ICD-10PCS coding, AIS coding required. Computer/data entry experience Ability to communicate with various members of the healthcare team. Ability to use EXCEL, Word and have basic computer operational knowledge. Epic, 3MJoin us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.
