Trauma Registrar-Full Time-Variable

Cape Fear Valley Health System; United States; On-site; USD 36,000 - 48,000; Full time

Job summary

Cape Fear Valley Health System is seeking a Trauma Registry Data Clerk to collect, maintain, and validate statistical data for trauma patients across the health system. You will manage the NC Trauma Registry, the National Trauma Registry and confidentiality of records.

The role requires high school level education, English proficiency, and familiarity with ICD-10-CM. Responsibilities include daily admissions tracking, data completeness, and generating reports to support quality improvement and

Qualifications

• Education: High school diploma or equivalent required.
• Medical terminology and coding certification preferred.
• 1 year chart review experience for QI, UR or coding preferred.
• Proficiency in reading, writing and speaking English.

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 via validation studies per NC requirements.
• Participate in State Registry meetings and trauma research.
• Prepare reports to evaluate trauma care and maintain registry confidentiality.

Skills

English proficiency

Medical terminology

ICD-10-CM codes

Education

High school diploma or equivalent

Medical terminology/coding certification preferred

1 year chart review experience preferred

Tools

Chart review processes

Job description

Facility: Cape Fear Valley Medical Center

Location: Fayetteville, North Carolina

Department: Trauma and Acute Care Services

Job Family: Clerical

Work Shift: Variable (United States of America)

Summary

Collect, 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 Functions

• Identify trauma patient admissions daily, complete data collection sheets and maintain patient log
• Initiate and complete Trauma Registry information, including demographics, injury information, complications and other defined data points
• Assess accuracy of data through validation studies as outlined by the State of North Carolina
• Participate in State Registry meetings
• Provide information concerning trauma statistics and quality assurance as requested
• Participate in trauma research
• Design and revise forms for data collection
• Prepare reports needed to evaluate trauma care
• Maintain Trauma Registry documents and confidentiality of data
• Other duties as assigned

Minimum Qualifications

• Education and Formal Training: High school diploma or equivalent required
• Medical terminology and coding certification preferred
• Work Experience: 1 year chart review experiences for QI, UR or coding preferred
• Knowledge, Skills, and Abilities Required: Proficiency in reading, writing, and speaking the English language
• Knowledge 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 terminology
• Ability to work independently
• Excellent organizational skills
• Basic computer skills
• Familiarity with ICD-10-CM and ISS codes preferred
• Knowledgeable of the physiological, psychosocial and spiritual needs of the patients typically served

Physical Requirements

• Ability to hear and express verbally and in writing
• Manual dexterity and visual acuity
• Ability to sit and stand for long periods
• Ability to bend and lift using good body mechanics
• Position may involve skin, eye mucous membrane, or parenteral contact with blood or other potentially infectious material

Required Licenses and Certifications

Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity For exceptional healthcare come to Cape Fear Valley Health where caring employees are committed to integrity, patient-centeredness and excellence throughout the entire healthcare process. At Cape Fear Valley Health, our goal is to improve the quality of every life we touch. Our diverse team of doctors, nurses and staff work together to create a better experience for every patient, every time.

About the Organization

Cape Fear Valley is a 950-bed, 8-hospital regional health system, the 8th largest in North Carolina, with more than 1 million inpatient and outpatients annually. A private not-for-profit organization with over 7,000 employees and 850 physicians. Our employees and physicians proudly serve a seven-county region of southeastern North Carolina, including Fayetteville, Fort Bragg, Hope Mills, Raeford, Lumberton, Elizabethtown, Clinton, Lillington, Dunn and beyond.

Facilities

Our medical facilities include Cape Fear Valley Medical Center, Highsmith-Rainey Specialty Hospital, Cape Fear Valley Rehabilitation Center, Behavioral Health Care, Bladen County Hospital, Hoke Hospital, Central Harnett Hospital, Betsy Johnson Hospital, as well as more than 60 medical offices and specialty care clinics spread throughout the Cape Fear region.