Trauma Registrar (Abstractor)

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Hennepin County Medical Center Published: March 21, 2018
Location
Minneapolis, MN
Job Type
Category

Description

Under supervision by the Trauma Program Manager, the Trauma Registrar is responsible for the detailed review, abstraction and input of patient information into the trauma registry database

Job Responsibilities

  • Concurrently and retrospectively, collects data from patient electronic health records and a variety of computer generated sources, on all admitted trauma and burn patients
  • Gather accurate information to process records and determine eligibility into the trauma or burn registry using inclusion criteria
  • Encodes the data, including ICD-10 coding, trauma registry coding, abbreviated injury scoring and injury severity scoring, using pre-established guideline 
  • Record keeping including:
  • Data entry
  • Maintenance of code files and data dictionary
  • Actively participates in data validation processes for accuracy and consistency of abstracting.
  • Participates in TQIP webinars and monthly education experiences.  
  • Attends MTRA meetings as appropriate
  • Assists with preparation for trauma and burn center verification site visits
  • Assists with quality projects and research activities as directed.
  • Additional responsibilities related to the Trauma Registry as assigned by the Lead Trauma Registrar, Trauma Program Manager, Trauma Medical Director, Trauma PIPS Coordinator or Pediatric Trauma Coordinator

Job Requirements

Minimum Qualifications:
  • Associates Degree in health care related field
  • Minimum of two years of experience working in the health care field
  • Knowledge of medical terminology and anatomy and physiology

or

  • An approved equivalent combination of education and experience
 
Preferred Qualifications:
  • Experience in an acute care setting with trauma admissions 
  • Working knowledge of ICD-10 classification system 
  • Knowledge of TraumaBase registry database 
  • Successful completion AAAM’s AIS Coding 
  • Successful completion of ATS Trauma Registrar Course
  • RHIT (Registered Health Information Technician) or RHIA (Registered Health Information Administrator)
  • CSTR (Certified Specialist in Trauma Registries)
Knowledge/ Skills/ Abilities:
  • Computer skills with proficiency in Microsoft programs and EMR software
  • Abide by strict confidentiality regulations as defined by HIPAA and hospital policy
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