Full Job Description
Job Summary: The Trauma Registry staff will optimally have a core set of skill requirements including: anatomy and physiology, medical terminology, ICD-9-CM and ICD-10-CM coding, computer competency, database management, and/or a degree in a health related field/allied profession. Job responsibilities of the trauma registrar will include but are not limited to the following components: database management, education, performance improvement, technical skill, site survey participation, interface with outside agencies, committee work and research. Abstracts clinical data from multiple sources and on all trauma patients as required by the Pennsylvania Trauma Systems Foundation (PTSF) and the Lehigh Valley Hospital Trauma Division. Assists in preparation for site survey visit. Communicates with trauma team regarding performance improvement issues identified during chart abstraction process. Acquires patient records, pre and post discharge for review, analysis and entry of diagnosis, procedures, consultations and prehospital, into trauma registry database.
Minimum Requirements: High School Graduate or equivalent. Minimum of 2-3 years in a health care related field i.e., pre-hospital, medical records or medical coding. Prior experience in abstracting clinical information into database including diagnosis, procedures, consultations and prehospital. Must be completed within 1 year of hire : Basic Trauma Registry Course, The Association of the Advancement of Automotive Medicine Injury Scaling Course Medical Coding ICD-9 / ICD-10-CM & PCS. Requires current working knowledge of medical terminology, anatomy and physiology and pathophysiology. Requires strong analytical and investigative skills in order to assign appropriate codes, severity scores, and maintain data integrity. Computer skills (windows) required with proficient data entry skills, in addition to basic knowledge of standard office equipment.
Location: Lehigh Valley Health Network · Trauma Center
Schedule: Part Time 20 hours, Day Shift, M-F; 0700-1530 variable