Trauma Registrar

Healthcare Staffing; Zanesville (OH); On-site; USD 40,000 - 60,000; Full time

Job summary

Healthcare Staffing is hiring for a position responsible for managing trauma patient data, including data entry and coding. This role requires knowledge of medical terminology and caregiving.

Candidates should have a medical-related education and experience in healthcare settings. Strong communication skills and the ability to work independently are essential for this challenging, yet rewarding position.

Qualifications

• Experience in the healthcare field is required.
• Knowledge of ICD-10 codes is encouraged.
• Must attend the Trauma Registry course within 12 months.

Responsibilities

• Collect trauma patient information through chart requisition.
• Prepare and present monthly statistical reports.
• Interface with clinical services for follow-up information.
• Enter data into NTDB for national reporting.
• Assist with trauma verification preparation.

Skills

Communication skills

Knowledge of medical terminology

Ability to work independently

Typing skills

Computer skills

Education

Medical Assistant Certificate

Licensed Practical Nurse

Multi-Skilled Technician

Paramedic

Job description

Overview of Position

This position is responsible for obtaining, abstracting, correcting, and entering appropriate patient data, both concurrently and retrospectively on trauma patients. The role includes assigning Injury Severity Scores to maintain an accurate trauma patient database for the trauma program in accordance with the American College of Surgeons (ACS). The registrar creates and maintains clinical and statistical data, including AIS coding and ICD-9-CM/ICD-10 CM codes, abstracts various data elements as required by ACS, the National Trauma Data Bank, Central Ohio Trauma System, and the Ohio State Trauma Registry. Outcomes are utilized to facilitate continued education for referring hospitals, physicians, and system improvement.

Essential Duties

• 1. Collects trauma patient information through chart requisition and medical record review, reviews and audits and reports findings.
• 2. Interfaces with physician offices and clinical services for follow‑up information.
• 3. Accesses current database for each patient to record accurate diagnosis, procedures, operations, complications, and discharge status.
• 4. Prepares monthly summary of all trauma‑related deaths.
• 5. Prepares and presents monthly and annual statistical reports for each trauma meeting as requested.
• 6. Codes severity for all traumatic injuries using doctor/nurse notes, pre‑hospital information, radiology reports, operative reports, and consultations.
• 7. Prepares and submits data summaries to the Ohio Department of Health, as requested.
• 8. Enters data into NTDB (National Trauma Data Bank) for national reporting on trauma, hospital benchmarking, and ACS.
• 9. Assists with the preparation for trauma verification.
• 10. Maintains relationships with all regional facilities and emergency service agencies that send trauma patients to Genesis, provides follow‑up on patient referrals, and assures timely feedback to referring physicians, nurses, and EMS personnel.
• 11. Represents Genesis in a variety of local and regional public/professional meetings.
• 12. Remains current on injury control issues and methodology by participating in programs offered by the Injury Prevention Research Center, CDC, and ATS.
• 13. Provides research and analysis, generates reports on trauma populations, and conducts data searches for trauma‑related research projects.

Qualifications

• 1. Medical Assistant Certificate (MA), Licensed Practical Nurse (LPN), Multi‑Skilled Technician (MST), Paramedic, or similar clinical education desired.
• 2. Experience in the healthcare field.
• 3. Knowledge of medical terminology, levels of care, treatment modalities, and the present healthcare delivery system.
• 4. Strong verbal and written communication, typing, and computer skills.
• 5. Ability to work independently and under pressure in a complex working environment.
• 6. Within 12 months must attend The American Trauma Society’s Trauma Registry course or equivalent and the Association of the Advancement of Automotive Medicine’s Injury Scaling Course.
• 7. Familiarity with ICD‑10 codes encouraged.

Patient Centered Care & Behavioral Expectations

• 1. Living the Genesis Mission, Vision and Values:
  • • Performs work in a manner that is quality focused.
  • • Treats patients, co‑workers, visitors and volunteers with courtesy, compassion, empathy and respect.
  • • Results oriented and focused on achievement of objectives.
  • • Acknowledges and responds to the diversity of people and the situation.
  • • Encourages peers to be owners of change.
  • • Always makes the effort to anticipate and exceed customer needs and expectations.
  • • Possesses the ability to engage others with patience and understanding.
  • • Acts in a manner that creates positive first and lasting impressions.
  • • Demonstrates the ability to own issues until they are resolved.
• 2. Patient Centered Care (patients/families, physicians, co‑workers, all other internal/external customers):
  • • Introduces self and role…connects with everyone.
  • • Communicates effectively (i.e., advising others of actions, pertinent information, time durations, etc.) and asks for feedback.
  • • Asks for and anticipates needs and concerns of others.
  • • Maintains a positive work environment for staff and a healing environment for patients (i.e., safe, clean, quiet, etc.).
  • • Maintains the dignity and privacy of each person; manages confidential/sensitive information appropriately.
  • • Responds to requests in an appropriate and timely manner.
  • • Exits patient/customer encounters courteously, asking if there are additional needs that can be addressed.
• 3. Promotes Patient and Employee Safety:
  • • Demonstrates safe Patient Handling (i.e., transfers, transport, care administration, nutrition, medication, etc.).
  • • Demonstrates safe Materials Handling (i.e., appropriate use and disposal of chemicals, infectious wastes, etc.).
  • • Demonstrates appropriate knowledge of Infectious Disease precautions and use of proper protective equipment.
  • • Demonstrates Slips/Trips and Falls Awareness.
  • • Actively contributes to maintaining a safe, clean and quiet environment.

Working Conditions / Physical Requirements

• 1. Ability to sit, stand, stoop, push, pull, bend, and walk for extended periods of time.
• 2. Ability to lift 50 pounds to waist level.

Equal Employment Opportunity

Genesis is committed to being an equal opportunity employer. Selection of applicants for employment is based only on qualifications and the requirements of a specific job. Our mission is to provide compassionate, quality healthcare.