Contribute to the success of the Department of Surgery by updating and maintaining the Trauma and Burn Registries for the University of Iowa Hospitals & Clinics and University of Iowa Stead Family Children’s Hospital. Duties include working with computers and medical records in order to review, analyze, abstract, code and enter data for trauma and burn patients.
- Maintains the trauma and burn registries for University of Iowa Hospitals & Clinics and University of Iowa Children’s Hospital.
- Identifies patients meeting criteria for entry into the Trauma/Burn registries.
- Maintains computerized log of trauma/burn patients.
- Accurately abstracts data, diagnoses and procedures/operations from patient charts and electronic medical records.
- Accurately assigns codes and scores of all injuries utilizing AIS and ICD-9/10 systems.
- Accurately enters data into the trauma/burn registries.
- Works cooperatively with outside hospitals, agencies and other departments to obtain necessary information.
- Manages data and prepares reports monthly and as requested.
- Assists with meeting reporting requirements of the Iowa Department of Public Health (IDPH), National Trauma Data Bank (NTDB), National Burn Registry (NBR), Trauma & Burn Quality Improvement Projects (TQIP/BQIP) and others as appropriate.
- Reviews, corrects and validates registry data on a regular basis and prior to submission to reporting agencies.
- Works as a team to complete timely data entry (concurrently, retrospectively) and to perform inter-rater reliability/accuracy checks.
- Assists with activities to prepare for and maintain verification by regulatory agencies (American College of Surgeons, American Burn Association).
- Maintains a working knowledge of criteria necessary to maintain trauma and burn center verifications.
- Participates as an integral member of the trauma and burn performance improvement programs by maintaining knowledge of current and ongoing PI projects, definitions and results of benchmarking and risk adjusted reports.
- Demonstrates capability to use and troubleshoot computer hardware and registry software.
- Provides training and technical support for the Trauma/Burn registries by participating in staff orientation and training of additional registry personnel as appropriate.
- Assists in trauma/burn research, education, and other activities as requested.
- Participates in professional development to assure skills and relevant knowledge and to maintain requirements for certifications and special programs.
- Ensures confidentiality of patient data and takes appropriate precautions to ensure security of data by performing routine backups.
- Performs projects and tasks as assigned.
- Ability to maintain a regular schedule.
- Other duties as assigned.
- Certification as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Tumor Registrar (CTR), Certified Coding Specialist (CCS), Certified Specialist in Trauma Registries (CSTR) or RN.
- A Bachelor’s degree or an equivalent combination of education and experience.
- Knowledge of University of Iowa policies, procedures and regulations.
Highly Desired Qualifications:
- Experience managing complex information requiring attention to detail
- Experience working with Trauma or Burn registries or other healthcare registries
- Demonstrated ability to work independently, needing minimal guidance.
- Knowledge of medical record coding practices, procedures, and reference sources.
- Ability to interpret guidelines, criteria and definitions.
- Knowledge of human anatomy
- Knowledge of medical terminology
- Excellent organizational skills
- Excellent written verbal communication and interpersonal skills
- Proficiency in Microsoft Office.