Clinical Data Registrar-Operations Management

Clinical Data Registrar-Operations Management

The Clinical Data Registrar is responsible for the collection/abstraction of required data bank elements into the clinical program registry database on all patients meeting defined inclusion criteria. The Registrar maintains the confidentiality of the registry data and provides registry data as appropriate for performance monitoring and improvement and research.

At SSMC, we firmly believe that the human touch is a fundamental part of care. We understand that health care is both an art and a science, running deeper than simply diagnosing and treating those who rely on us. Our SSMC Model of Care puts our patients at the forefront of our purpose and at the heart of everything we do, ensuring that the needs of our patients come first. Every one of our patients receives individualized attention from a multidisciplinary team of experts who collaborate closely to deliver trusted and compassionate care. From the very first point of contact with SSMC, to the moment patients are back home, we ensure speciality-specific care at every stage and in every interaction. As one of the largest tertiary hospitals in the UAE, SSMC provides access to specialist medical treatments and advanced diagnostics, with a commitment to becoming a Destination Medical Center in the UAE and wider region.

Required: Bachelor degree in health related field

Specialist Certifications:

Required:
Within one year of hire the following are required, if not already certified:

• Recognized Registrar Certification or program
• Injury Scaling Certification
• ICD Coding Certification (current and maintain currency within 5 years)

Desired:

• Certified Abbreviated Injury Scale Specialist (CAISS)
• OR
• Certified Specialist in Trauma Registries (CSTR)

Required Experience:
Work experience of at least two years and knowledge of medical terminology is essential.
Proficiency in utilizing computer applications (Word, Excel, etc.) and data management.

Desired:
Work experience of at least two years with strong emphasis on data integrity and analysis.
Trauma/burn care experience.
Previous Registry/Report Writing experience.

• Performs basic data collection of demographics and coding of clinical and follow-up data from all sources into clinical program registry database.
• Interacts with physicians, nurses, and other members of the assigned clinical program team and patients to perform registry functions.
• Determines appropriateness of patient entry into the Clinical Program Registry based on the applicable clinical program guidelines and data standards/dictionary.
• Provides high quality data entry by abstraction of required data elements from the patient chart in real time and retrospectively.
• Participates in quality assurance, data validation (5-10% case files), and improvement activities to ensure accuracy of data collection and timely submission of data according to required standards within and/or across clinical programs as applicable to remain compliant with validation requirements.
• Understands mapping concepts and validates mapping of registry software for reporting requirements.
• Resolves routine coding issues/problems and appropriately seeks assistance from assigned Clinical Program leadership and/or Registry vendor when appropriate.
• Recognizes patterns of mechanism of injury during case abstraction in order to contribute to opportunities for injury prevention and community safety.
• Reports data in formats such as Excel and/or PowerPoint for both internal and external consumption (includes statistical, clinical, and research data).
• Assists with performance improvement projects under the direction of the Operations/Program Manager/Director as indicated.
• Maintains confidentiality of the registry and follows guidelines re: Data Request Management.

Accountabilities:

• Keeps registry current as per the Standards Set by the Regulatory Bodies, which is currently 80% complete within 60 days of patient discharge.
• Ensures data validation (5-10% case files) with a validity rate of not less than 95%.
• Completes required reporting in required timeframes.
• Responsible for the Trauma and/or Burn Program Data Registry.

Company Industry:

• Medical
• Medical Devices

Department / Functional Area:

• Data Entry
• Operations
• Back Office Processing

Keywords:

• Clinical Data Registrar-Operations Management