Trauma Registrar

Kaweah Delta Health Care District; Visalia (CA); On-site; USD 31,000 - 46,000; Full time

Job summary

Kaweah Health in Visalia, CA is seeking a Trauma Registrar to compile and abstract data for the trauma registry to meet state and national guidelines and drive performance improvement. You will identify patients, perform concurrent and retrospective chart abstraction, and maintain the registry database in collaboration with the Trauma Program Manager.

Qualifications include a trauma ICD-10 coding certificate within one year of hire, experience with Microsoft Office, and knowledge of ICD-10

Qualifications

• Knowledge of medical terminology required.
• Experience with ICD-10 coding and AIS scoring preferred.
• Proficiency in Microsoft Office (Excel, Word, PowerPoint) required.

Responsibilities

• Identifies patients to be entered into the registry database for the trauma program.
• Performs concurrent and retrospective chart abstraction and data entry.
• Maintains the registry database in consultation with the Trauma Program Manager.

Skills

Medical terminology

ICD-10 coding

Microsoft Office

Education

Trauma ICD-10 coding certificate

Job description

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care.

It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do - in the health of our patients, our loved ones, and our community.

Work Shift

Day - 8 Hour or less Shift (United States of America)

Department

7013 Trauma Department

The Trauma Registrar is responsible for compilation and abstraction of specific data to enter into the registry for the purposes of state and national guidelines/ regulations and performance improvement.

QUALIFICATIONS

License /Certification

• Required: Trauma ICD-10 coding certificate within one year of hire/transfer

Experience

• Required: Experience in Microsoft Office (excel, word, power point)
• Preferred: Experience in registry programs Experience with ICD-10 and AIS injury coding

Knowledge/Skills/Abilities

• Knowledge of medical terminology
• Computer system knowledge, including word processing and database use
• Knowledge of ICD-10 coding required.

JOB RESPONSIBILITIES

Essential

• Identifies patients to be entered into the registry database for the assigned program, Trauma Program or Stroke Program.
• Participates in concurrent and retrospective chart abstracting and data entry of program patients into the registry database.
• Has primary responsibility for maintaining the registry database in consultation with the Program Manager.
• Responsible for maintenance of the registry database, including installing updates from the software vendor.
• Downloads registry data to the identified state agency within 60 days of patient discharge or per state rules.
• Assists with providing patient follow-up information in a timely manner.
• Maintains liaison relationship with outreach institutions and physicians who refer patients to the program services.
• Assists with quality assessment of patient care for all identified program service patients, utilizing state, facility, and department guidelines.
• Collaborates with Program Manager to review all aspects of care per the program service PI.
• Assumes responsibility for the clinical evaluation and tracking of program service patients in conjunction with the Program Manager.
• Assists in orienting new employees to program service tasks.
• Assists with providing educational programs, including case studies, for program team members.
• Collaborates with department staff to update policies, procedures, and protocols necessary for the program service to function.
• Accountable for meeting and maintaining program service standards and policies.
• Provides statistical reports as requested.
• Assists in developing and meeting team goals.
• Interacts with intradepartmental and interdepartmental staff in a collaborative and cooperative manner thereby promoting employee morale.
• Assists with interdepartmental and interdisciplinary improvement efforts.
• Attends program related meetings as assigned.
• Demonstrates ability to code diagnoses using ICD-10 and AIS methodology.
• Applies initial QA screen to trauma patient charts using audit filters.
• Completes final retrospective injury coding to include ICD-10 and AIS scoring.

Additional

• Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area.
• Performs other duties as assigned.

Pay Range

$22.48 -$33.72

If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.