Under general direction, collects, maintains and analyzes data reflecting health care provided to patients in an emergency trauma care setting.
Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position.
- Codes and reports treatment of cases using the International Classification of Diseases (ICD-9 CM)
- Reviews care provided and identifies variations in the process or outcome of care provided
- Responsible for the data management, case findings, abstracting, data retrieval and analysis
- Ensures that all functions of the registry are met using the guidelines set forth by the American College of Surgeons and the National Trauma Data Bank (NTDB)
- Reports statistics to physicians, administration and outside agencies upon requests
- Assist with information regarding the Trauma Registry
- Reports all analytical cases to Columbia/HCA Trauma Care Database and the American College of Surgeons
- Performs other duties as assigned
Education: Graduate of Health Information Management baccalaureate; and eligible for registration as a RHIA, or RHIT OR an equivalent combination of education and experience in a health related field, and two years experience in coding, abstracting data or emergency room activities for the required education/certification.
License(s)/Certification(s)/Registration(s) Required: None.
Knowledge, Skills and Abilities:
Knowledge of principles and practices of trauma registry and medical records and policies and procedures. Knowledge of indexing, classification and staging systems. Will need to know medical terminology, anatomy and physiology pertaining to trauma processes. Database management skills, especially in abstracting and coding trauma related data from medical records and laboratory reports that are computerized. Knowledge of report writing. Good computer and interpersonal skills.