Trauma Registrar-Full Time-Variable

Cape-Fear-Valley-Medical-Center-; Fayetteville (NC); On-site; USD 36,000 - 48,000; Full time

Job summary

Cape Fear Valley Medical Center in Fayetteville, NC seeks a Trauma Registry Clerk to collect, compile, and maintain statistical data for trauma admissions across the health system. You will manage the state and national trauma registries, ensure data accuracy, and support quality assurance efforts.

Responsibilities include daily admissions tracking, demographic and injury data entry, and preparing reports for research and compliance.

Qualifications

• Education: High school diploma or equivalent required.
• Medical terminology and coding certification preferred.
• Experience: 1 year chart review for QI, UR or coding preferred.
• English reading, writing, and speaking proficiency.
• Ability to work independently; excellent organizational skills.
• Familiarity with ICD-10-CM and ISS codes preferred.
• Basic computer skills; ability to sit/stand long periods.
• Knowledge of growth and development for age-appropriate patient care.

Responsibilities

• Identify trauma patient admissions daily and maintain patient log.
• Initiate and complete Trauma Registry information, including demographics and injury data.
• Assess accuracy of data through validation studies as outlined by NC.
• Participate in State Registry meetings and trauma research.
• Provide information concerning trauma statistics and quality assurance as requested.
• Design and revise forms for data collection.
• Prepare reports needed to evaluate trauma care; maintain confidentiality.
• Maintain Trauma Registry documents and confidentiality of data.

Skills

English proficiency

Medical terminology

ICD-10-CM knowledge

ISS codes knowledge

Growth and development knowledge

Organizational skills

Basic computer skills

Independence

Education

High school diploma or equivalent

Medical terminology and coding certification preferred

Job description

FacilityCape Fear Valley Medical CenterLocationFayetteville, North CarolinaDepartmentTrauma and Acute Care ServicesJob FamilyClericalWork ShiftVariable (United States of America)SummaryCollect, compile and maintain statistical database of trauma patients admitted to the health system. Maintain registry for the North Carolina Trauma Registry, the National Trauma Registry and the health system.Major Job FunctionsThe following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time:Identify trauma patient admissions daily, complete data collection sheets and maintain patient logInitiate and complete Trauma Registry information, including demographics, injury information, complications and other defined data pointsAssess accuracy of data through validation studies as outlined by the State of North CarolinaParticipate in State Registry meetingsProvide information concerning trauma statistics and quality assurance as requestedParticipate in trauma researchDesign and revise forms for data collectionPrepare reports needed to evaluate trauma careMaintain Trauma Registry documents and confidentiality of dataOther duties as assignedMinimum QualificationsThe following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:Education and Formal Training:High school diploma or equivalent requiredMedical terminology and coding certification preferredWork Experience:1 year chart review experiences for QI, UR or coding preferredKnowledge, Skills, and Abilities Required:Proficiency in reading, writing, and speaking the English languageKnowledge of growth and development and skills necessary to provide age appropriate care for the following patient categories: infant (0-12months), toddler (13-30 months), preschooler (31 months-5 years), school age (6-12 years), adolescent (13-18 years), young adulthood (19-30 years), middle adulthood (31-65 years) and older adulthood (>65 years)Familiarity with medical terminologyAbility to work independentlyExcellent organizational skillsBasic computer skillsFamiliarity with ICD-10-CM and ISS codes preferredKnowledgeable of the physiological, psychosocial and spiritual needs of the patients typically servedPhysical Requirements:Ability to hear and express verbally and in writingManual dexterity and visual acuityAbility to sit and stand for long periodsAbility to bend and lift using good body mechanicsPosition may involve skin, eye mucous membrane, or parenteral contact with blood or other potentially infectious materialRequired Licenses and CertificationsCape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity