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Job Detail

Trauma Registrar

Job Code:  

Role and Responsibilities:

Health Information Alliance, Inc. is looking for experienced, passionate trauma registrars committed to abstracting high quality, standardized trauma data to join our growing trauma registry division. Part-time remote contract positions are in demand. Trauma centers and, more importantly, their trauma patients rely on high-quality trauma data. It is the trauma registrar who is on the frontline of high-quality trauma data abstraction.

Job Summary:

  • Abstracts physiological and anatomical data on trauma patients for inclusion into a trauma data collection system
  • Performs identification, prioritization and injury coding of trauma patients for inclusion into a trauma data collection system
  • Performs duties to support the abstraction of quality trauma data for use locally, statewide and nationally
  • Performs other trauma registry duties as may be required per the contract

 

Major Duties and Responsibilities:

 

  • Maintains confidentiality and security of patient data at all times
  • Abstracts data from the medical record according to the requirements of the hospital, state and national trauma registry data definitions including demographic ∙characteristics, prehospital information, initial hospital treatment, operating room usage, outcome and final disposition.
  • Participates in periodic quality reviews
  • Interacts in a positive manner with client(s)
  • Remotely accesses electronic health records and trauma data collection systems

 

Competencies and Skills:

 

  • Must have completed coursework in physiology, anatomy and medical terminology
  • Must have the ability to code in ICD-10-CM specific to injuries and mechanism of injuries
  • Must have the ability to code in ICD-10-PCS 
  • Must have the ability to assign severity of injury utilizing the AAAM Abbreviated Injury Scale
  • Must be able to analyze and process detail-oriented information
  • Must be able to read and understand data definitions using a standard data dictionary
  • Must be self-motivated and able to work independently
  • Must be very comfortable working with technology and personal computer

 

Education and Experience:

 

  • Minimum 3 years of trauma registry experience required
  • Must have experience with electronic health records
  • Must have experience with NTDS trauma data definitions
  • Must have CSTR or CAISS
  • Must have experience with one or more trauma data collection systems (e.g. DI COLLECTOR, TraumaOne, Trauma Base, etc.)
  • RHIA, RHIT, RN, LPN Preferred
  • Experience abstracting trauma data for pediatric and/or ABA burn patients is desired

 

Working Condition and Physical Demand:

 

  • Work is typically performed in a home office environment.

 

The specific statements shown in this description are not intended to be all-inclusive.  They represent typical elements considered necessary to successfully perform the job

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