Trauma Registrar

WellSpan Health; York, Northern (York County, KY); Hybrid; USD 42,000 - 64,000; Full time

Benefits offered by this job

Retirement savings plan

Paid time off (PTO)

Education assistance

DailyPay

Job summary

WellSpan Health is seeking a Trauma Registrar to abstract trauma-related data from medical records and enter it into the Trauma Registry for quality assessment and research. The role requires maintaining data confidentiality while ensuring timely reporting and regulatory compliance.

The ideal candidate has a health-related background, a relevant certificate preferred, and will participate in ongoing continuing education to support accurate data capture and registry integrity.

Qualifications

• High School Diploma or GED is required.
• Certificate program in medicalsecretarial or medical record technician is preferred.
• 1 year health-related field experience required.

Responsibilities

• Abstracts data from patients' medical records and enters into the Trauma Registry.
• Organizes input and maintains patient data to conform to registry standards; preserves confidentiality and security of data.
• Assists with data collection for quality assessment/management, special studies and research; prepares reports.
• Performs tasks related to Pennsylvania Trauma Systems Foundation standards and Trauma Center accreditation.
• Compiles data for regularly scheduled or special reports and analyses.
• Enters/retrieves data from computer files; interfaces with outside agencies.
• Maintains trauma registry records and ensures target of 85% cases abstracted within 42 days of discharge.

Skills

Anatomy & physiology

Medical terminology

ICD-9/ICD-10 coding

Computer competency

Database management

Education

High school diploma or GED

Medical secretary/medical records certificate (preferred)

Job description

Ask me about WellSpan being one of America's Greatest Places to work.

Abstracts a variety of trauma related data from patients' medical records and enters into the Trauma Registry for use in quality assessment and research activities. Analyzes registry data. Disseminates information in accordance with professional ethics. Preserves confidentiality and security of patient data stored in the registry files.

Duties and Responsibilities

Essential Functions

• Abstracts a variety of data from patients' medical records and enters into the Trauma Registry.
• Organizes input and maintains patient computer data to ensure conformance to registry operational standards; preserves the confidentiality and security of patient data stored in the registry files.
• Assists with data collection for quality assessment/management, special studies and research purposes. Prepares appropriate reports.
• Performs a variety of functions related to Pennsylvania Trauma Systems Foundation standards compliance and Trauma Center accreditation such as PIPS Participation, research, site survey preparation, and committee work.
• Compiles data for and prepares regularly scheduled or special reports, analyses and statements.
• Enters and/or retrieves data from established computer files using knowledge of various computer software applications. Interface with outside agencies.
• Performs database management by maintaining appropriate records, reports, and files as required.
• Trauma Registry participation in inter-rater should be maintained at multidisciplinary conferences that deal with the review and analysis of trauma registry data.
• Retains authority, responsibility and accountability for direction and maintenance of the trauma registry and ensuring that it maintains at a minimum, a target of 85% of the cases abstracted within 42 days of discharge.

Common Expectations

• Maintains established policies and procedures, objectives, quality assessment and safety standards.
• Enhances professional growth and development through participation in educational programs, current literature, inservice meetings, and workshops.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Qualifications

Minimum Education

• High School Diploma or GED Required
• Certificate Program Post High School Vocational/Specialized Training (Medical secretarial or medical record technician program) Preferred

Work Experience

• 1 year Health-related field/allied health Required

Courses and Training

• The Registrar will complete the Basic Trauma Registry Course and the ATS Trauma Registrar Course within 1 year Required and
• Previous completion of the PTSF Intermediate or Advanced Registrar Course fulfills the above requirements Upon Hire Required and
• Other equivalent courses are acceptable based upon objectives. Upon Hire Required and
• The Association of the Advancement of Automotive Medicine Injury Scaling Course (Registrars in the role prior to October 1, 2016 must have completed requirements by October 2017). Upon Hire Required and
• The Trauma Registrar must have evidence of continuing education related to the trauma registry which includes eight hours of continuing education per year and can be fulfilled by attendance at PTSF Registry Conferences, internal, external and/or online opportunities. Upon Hire Required

Knowledge, Skills, and Abilities

• Knowledge of anatomy and physiology
• Medical terminology
• ICD-9/ICD-10 CM coding
• Computer competency
• Database management

Benefits Offered

• Retirement savings plan
• Paid time off (PTO)
• Education assistance
• Financial education and support, including DailyPay

At WellSpan Health, we are committed to treating all applicants fairly, regardless of their job classification. If you require assistance or accommodation due to a disability, please reach out to us via email at [e-mail]. We will evaluate requests for accommodation on a case-by-case basis. Please note that we will only respond to inquiries related to reasonable accommodation from this email address. Rest assured, all requests for assistance or accommodation are handled confidentially, allowing applicants to share their needs openly and honestly with us.