Applies comprehensive knowledge of 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' (ACoS) Commission on Trauma 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 risk-adjusted mortality and survival statistics, national benchmarking, quality improvement initiatives and other research/ statistical puposes. Data collected by the Trauma Registrar are utilized by physicians, administrators, quality improvement professionals and ACS surveyors to assess the quality of care provided our trauma patients. The trauma registrar is an integral part of the Trauma Team and works closely with the Trauma Medical Director and management team to ensure/ improve patient care. This position requires the ability to work independently and utilize critical thinking, organizational and time management skills to achieve and maintain high productivity.
Job related course work beyond high school - anatomy, physiology or medical terminology
2 years - trauma registry or abstracting/interpreting medical information from medical records
In lieu of Trauma Registry experience, the following will be considered: an Associate's Degree in an Allied Health field or Health Information Management (HIM) and/or a Registered Health Information Technician (RHIT) certfication
Working knowledge of anatomy, physiology and medical terminology - Required
Prior experience in trauma registry or other national database registry - Preferred
Minimum one year of experience in ICD-10 diagnoses and procedure coding - Preferred