Primary Function/General Purpose of Position
The Trauma Registrar is responsible for the collection and abstraction of data base elements following the criteria of inclusion for state and/or national trauma databases. The Trauma Registrar, reporting directly to the Trauma Program Manager, supports the organizational requirements for by the State of Ohio and the standards set forth by the American College of Surgeons for maintaining a trauma registry database. Assigns diagnosis and procedure codes for the purpose of research and compliance with state and federal regulations.
Essential Job Functions
The Trauma Registrar identifies cases for inclusion into the registry data base
Data abstracted will be from various sources including, but not limited, to the electronic medical record, prehospital databases, autopsies reports, and other data sources, either electronic or not that will substantiate the injured patient
The Trauma Registrar will assign ICD-10 CM diagnosis codes and ICD-PCS procedure codes according to the established and published Official Coding Guidelines.
The Trauma Registrar will assign and verify AIS codes required for severity of illness and probability of survival as established through AAAM manual for AIS coding
Daily chart review and data entry into the Trauma Registry on established patients who meet criteria will be performed.
The Trauma Registrar ensures adherence to data management protocols set forth to ensure accurate and timely reporting of data to the organization and regulatory agencies.
The Trauma Registrar assists with performance improvement activities.
Licensing/Certification
REQUIRED (One or More):
Registered Health Information Technician (RHIT)
Registered Health Information Administrator (RHIA)
Certified Professional Coder (CPC);
Certified Coding Specialist (CCS);
Or other equivalent education and experience
Must complete and pass AIS Coding by AAAM within 12 months of hire (Required)
Must complete and pass ICD-10 Trauma specific coding course within 12 months of hire (Required)
Ongoing data validation scores at the level of 90% accuracy following 12 months of employment and fulfillment of onboarding training requirements. (All levels registrars must maintain- Required)
Education
Completion of ICD-10 coding courses (Required)
Completion of college-level Anatomy/Physiology courses (Required)
Completion of college-level Medical Terminology courses (Required)
Associate’s degree in any field that includes two semesters of medical terminology and Anatomy/Physiology, or in medical records coding from an accredited program. (Preferred)
Work Experience
Training
Current knowledge of ICD-10-CM and ICD-10-PCS coding principals
Proficiency with MS Office software including email, MS-Word, and MS-Excel. Expert skills with word processing, spreadsheets, and databases.
Skills
Abstracting experience using current requirements by state and national regulatory bodies Experience with medical terminology and acronyms related to diagnosis, procedures, complications and comorbid conditions
Experience with accurate and timely data entry and verification to maintain high standards of data quality control
Performing daily chart reviews on specific patients.
Assigns ICD-10 and other specialized codes and enters data into the registry.
Interprets medical information.
Attention to detail
Critical thinking
Conflict resolution
Active listening
Relationship building
Ability to function independently and as part of a team and thrive in a fast-paced environment.
Ability to work additional hours if the work warrants it.
Hours:
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.
As a Mercy Health associate, you're part of a Mission that matters. We support your well-being—personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.
What we offer
- Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
- Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
- Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
- Tuition assistance, professional development and continuing education support
Benefits may vary based on the market and employment status.
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email [email protected]. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at [email protected]
