Trauma Registrar (Mercy Health Center)

UPMC; Pittsburgh (Allegheny County); On-site; USD 50,000 - 80,000; Full time

Job summary

An established industry player is looking for a dedicated Trauma Registrar to join their team. In this impactful role, you will maintain the Trauma Patient Registry, ensuring high data quality and compliance with state requirements. Your responsibilities will include patient identification, abstracting and coding medical records, and managing the trauma database. This position offers the chance to apply your coding expertise in a meaningful way, contributing to excellence in trauma patient care. If you're passionate about data management and quality assurance, this is an exciting opportunity to make a difference in the healthcare field.

Qualifications

• Strong coding skills required, particularly in ICD9-CM.
• Experience in data management and quality assurance is essential.

Responsibilities

• Maintain the Trauma Patient Registry with high data quality.
• Perform coding and abstracting of trauma patient medical records.
• Ensure compliance with trauma systems and manage database.

Skills

Data Management

ICD9-CM Coding

Quality Assurance

Patient Confidentiality

Statistical Reporting

Education

Bachelor's Degree in Health Information Management

Certification in Coding

Tools

Computerized Registry System

Job description

Are you a coding professional seeking a meaningful career? UPMC's Trauma Registrar role involves maintaining the Trauma Patient Registry with high data quality and consistency. You'll handle patient identification, admissions, abstracting and coding, manage the trauma database, and retrieve data for quality assurance. You'll also ensure compliance with Pennsylvania Trauma Systems Foundation requests and work closely with the Trauma QA/Registry Coordinator, Trauma Program Manager, and other hospital staff. Join UPMC as a Trauma Registrar and apply your coding skills to a meaningful career!

Responsibilities:

1. Document data and time of attendance at continuing education programs.
2. Demonstrate an awareness of the hospital's commitment to provide excellence in trauma patient care by supporting the Trauma Program's service management objectives.
3. Perform related responsibilities as requested by the Trauma Program Manager.
4. Follow protocol for removing or adding patients to the database.
5. Identify appropriately trauma patients by monitoring on a daily basis the Emergency Department and Admitting Department identification systems.
6. Perform additional trauma patient medical record abstracting or audit activities for quality assurance, research, education, or for the purpose of identifying and addressing documentation deficiencies.
7. Engage in follow-up activity as appropriate.
8. Accurately maintain the computerized registry system, which includes keying data, making additions, and making corrections as necessary.
9. Contact appropriately the Trauma QA/Registry Coordinator for problem solving and clarification of clinical information.
10. Maintain accurately the statistical database, generate routine monthly reports, and respond to special requests for statistical information.
11. Work with the Trauma Nurse Specialist and Trauma QA/Registry Coordinator to collect, organize, and disseminate results.
12. Maintain confidentiality of patient information and follow hospital policies relating to security of patient information.
13. Ensure that all PTOS information is accurate, complete, and submitted within the time frames established by PTOS protocol.
14. Maintain communications with the state Trauma Registrar and/or PTOS analysts for purposes of clarifying information or respond to requests for clarification of information.
15. Maintain and expand current knowledge base through attendance at appropriate in-services or seminars and by studying reference material.
16. Abstract from the trauma patient medical record relevant information required for the hospital registry and the Pennsylvania Trauma Outcome Study, including selection and coding of diagnoses and procedures using ICD9-CM, and calculation of trauma and Injury Severity Scores accurately and efficiently.
17. Retrieve information from the database upon request of Trauma Services or other appropriate personnel.
18. Determine the data elements and design the output for the request.
19. Attend and participate in Trauma QI activities such as MAC meetings.
20. Conduct concurrent review of trauma patient records within 48 hours of admission and enter select information into the database to provide current information for quality assurance, outreach, education, and public relations purposes.
21. Document and disseminate information as appropriate.