Trauma Registrar

RIH Rhode Island Hospital; United States; On-site; USD 68,770,000 - 114,616,000; Full time

Job summary

Brown University Health seeks a Trauma Registrar to collect, abstract and enter clinical data for admitted trauma patients. You will code injuries using ICD-10-CM and AAAM systems, ensure timely entry into TraumaOne, and uphold accuracy and compliance with ACS and NTDB standards.

You will work with the Trauma Program Manager to maximize data quality, participate in site visits, and support performance improvement efforts across the trauma service.

Qualifications

• Solid knowledge of anatomy.
• Strong medical terminology background with healthcare experience.
• Solid knowledge of ICD-10-CM preferred.
• Knowledge of database management and Microsoft Office Suite.
• High initiative, judgment, discretion, and ability to function independently.
• Detail oriented with strong organizational skills.

Responsibilities

• Collect, abstract and enter clinical data of admitted trauma patients.
• Enter data into the TraumaOne database following Data Entry Policy.
• Ensure compliance with Joint Commission, ACS, NTDB and American Burn Association.
• Identify and enter patients into the trauma database using inclusion criteria.
• Assign ICD-10-CM and AAAM codes to injuries.
• Maintain timely records; 80% of cases within 60 days of discharge.
• Participate in data validation to ensure data integrity.
• Maintain 95% accuracy per Data Validation form.
• Update data dictionaries and reference documents to improve accuracy.
• Collaborate with Trauma Program Manager to optimize data abstraction efficiency.
• Prepare for ACS site visits and institutional reviews.
• Collaborate with healthcare team to promote trauma program goals.
• Engage in professional development and adhere to policies.
• Perform other duties as assigned.

Skills

Anatomy knowledge

Medical terminology

ICD-10-CM

Database management

Microsoft Office Suite

Attention to detail

Independent work

Initiative/Judgment

Healthcare experience

Education

High School diploma or equivalent

Associate's or Bachelor's degree in Medical Record Management or related health science

Trauma Registrar course within 9 months of hire

AIS/Injury Severity Scoring certification within 1 year

CCA or CCS certification desirable

Tools

Trauma registry software (TraumaOne)

Microsoft Office Suite

Job description

Job Description SUMMARY: The Trauma Registrar is an integral member of the Trauma Registry. As the only ACS verified Level I Trauma Center in the state, we provide essential trauma care to over 4,200 patients admitted with traumatic injuries every year. The Trauma service relies on the Trauma Registry to support the performance improvement process that is integral to our hospital’s American College of Surgeons verification status. Under the direction of the Trauma Program Manager, the registrar assures accurate, timely, and comprehensive data collection, coding and entry into the TraumaOne database. The chief responsibility of a registrar is to enter into the TraumaOne database the documented injuries and care provided to trauma patients admitted to the hospital.

RESPONSIBILITIES

• Brown University Health employees are expected to successfully role model the organization’s values of Compassion, Accountability, Respect, and Excellence as these guide our everyday actions with patients, customers and one another.
• Primary role is the collection, abstraction and entry of clinical data of admitted trauma patients.
• The data will be accurately and timely entered into the TraumaOne database following the Data Entry Policy within the Trauma Registry.
• This activity ensures the hospital is in compliance with all standards as they relate to Joint Commission, American College of Surgeons, National Trauma Data Bank (NTDB) and American Burn Association.
• Utilizing trauma database inclusion criteria, the registrar identifies and enters patients into the trauma database.
• Assign diagnosis and procedural codes to trauma patient’s injuries utilizing ICD-10 and AAAM coding systems.
• Each registrar will be current with records.
• At a minimum 80% of cases must be completed within 60 days of patient discharge.
• Participates in data validation process to ensure the integrity of the collected data.
• Each registrar is expected to have a 95%, or better, accuracy rate per the Data Validation form established within the Trauma Registry.
• Actively participates in updating data dictionary or other reference documents that facilitate increased productivity and accuracy.
• Collaborates with the Trauma Program Manager in maximizing the efficiency of abstracting the required data elements from the medical record and other available sources by reporting critical gaps in the medical record documentation.
• Actively participates in ongoing preparation for the American College of Surgeons (ACS) site visit.
• Collaborates in a professional manner with all members of the healthcare team to promote the goals and objectives of the Division of Trauma.
• Participates in professional development/educational activities to ensure advancement of skills and knowledge of trauma care and data information systems.
• Complies with all institutional and departmental policies, procedures and objectives.
• Other duties as assigned by the Trauma Program Manager.

MINIMUM QUALIFICATIONS

EDUCATION/CERTIFICATIONS

• High School graduate or equivalent required.
• Associate’s or bachelor’s degree in Medical Record Management or related health science field preferred.
• Completion of Trauma Registrar course within 9 months of hire.
• Certification in Injury Severity Index Scoring/AIS within 1 year of employment.
• CCA or CCS certified highly desirable.

EXPERIENCE, KNOWLEDGE, SKILLS

• Solid knowledge of anatomy required.
• Strong medical terminology background required with at least 2 years of healthcare experience.
• Solid knowledge of ICD-10- CM preferred.
• Knowledge of database management and Microsoft Office Suite required.
• Ability to represent the organization and serve consumers in a professional manner and promote a positive image of the organization.
• Work requires high degree of initiative, judgment, discretion, and ability to function independently.
• Must be detailed oriented and possess strong organizational skills.

SUPERVISORY RESPONSIBILITY

None.

Pay Range

$24.29-$40.07

EEO Statement

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location

Corporate Headquarters - 15 LaSalle Square Providence, Rhode Island 02903

Work Type

M-F 8:00am-5:00pm

Work Shift

Day

Daily Hours

8 hours

Driving Required

No

Company Overview

As Rhode Island's largest health system and private employer, Brown University Health is the state's premier provider of health services and includes the only Level I Trauma Center for southeastern New England. Today, more than 20,000 people work at Brown University Health and bring their unique skills, experiences, and compassion to their jobs every day. Formed in 1994, Brown University Health is a not-for-profit health system based in Providence, RI comprising three teaching hospitals of The Warren Alpert Medical School of Brown University: Rhode Island Hospital and its Hasbro Children's; The Miriam Hospital; and Bradley Hospital, the nation’s first psychiatric hospital for children; Newport Hospital, Saint Anne's Hospital and Morton Hospital, community hospitals offering a broad range of health services; Gateway Healthcare, the state’s largest provider of community behavioral health care; and Brown Health Medical Group, the largest multi-specialty practice in Rhode Island.

EEO

Brown University Health is an equal opportunity employer that values diversity of cultural background, race, gender, age, religion, identity, ability, and perspectives - we are actively committed to a diverse workforce that represents the patients and community that we serve. We are invested in creating a respectful, inclusive, and equitable environment that supports the holistic well-being of our employees and their families.

Join Us

Join us and help build a healthier future for our patients - and for yourself.