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Trauma Registrar II - Trauma Services

2220 S 17Th Street
Wilmington, NC
Job ID: 3693
Date Posted: Jul 15, 2021

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Job Description

Description

About NHRMC

NHRMC, established in 1967 in Wilmington, NC, is recognized as a preeminent healthcare organization focused on leading our community to outstanding health. We have an 855 bed network of hospitals and multi-specialty physician group practices with more than 200 physicians. With a network of primary, specialty, neighborhood clinics and regional medical centers; you will find our culture is the very definition of best in practice. Join us and find out how many ways NHRMC offers you the chance to focus on what really matters - our patients and community.

About the Job

Location: NHRMC Canterbury Annex

Department: Trauma Services

Full Time Equivalent: FTE: 1.000000

Work Type: 64 to 80 Hours Pay Period

Work Schedule: 8HR DAY - Most of shift btwn 7A-3P

Exempt from Overtime: Exempt: No

What You'll Do

Summary:

The Trauma Registrar II is responsible for the trauma registry, a data base unique to trauma patients. This includes identification, collection, coding, scoring and entering of data into a designated registry data base. The registrar assumes the responsibility of assuring the accuracy of the data that is collected and collaborates with performance improvement, administrative planning and marketing, prevention, outreach, support programs and research activities. The Trauma registrar II participates in Trauma Committee and quarterly state trauma meetings, providing data and interpreting reports as needed. This person ensures that trauma data is retrieved, entered, and supports the Trauma Data Analyst in accordance with state and national mandated regulations to ensure that NHRMC maintains Trauma Center verification. Assists with quality improvement activities, information requests and studies as requested. The Trauma Registrar II demonstrates an expertise level of trauma registry data abstraction, collection, entry, interpretation and analysis. Trauma Registrar II demonstrates independent initiative in trauma registry problem solving with minimal guidance of the Trauma Program Director. Is accountable for all entry, processing, audits, and inter-rater reliability activities. Highly involved with data downloads and upgrades and assures education to Trauma Services team of update changes or processes. Verifies Trauma, Orthopedic and other specialty team scheduling issues and ensures that all call schedules are current and accurate in the call database. Identifies and reports performance issue trends in a timely manner ongoing to Trauma Services team.


Responsibilities:

1. Identifies trauma patients, maintains log, performs chart abstracts, maintains ICD-9CM, (ICD 10), AIS coding, and enters data into database. 2. Obtains on-going follow-up information as needed, i.e. readmissions and autopsy results to close records. 3. Collaborates with the SERAC Regional Trauma, Injury Prevention, and Performance Improvement Trauma Coordinators to support PI activities in collaboration with the Trauma Data Analyst to provide requested information, support additional data capture. 4. Organizes, enters and maintains patient computer data to ensure conformance to trauma registry operational standards and to meet the needs of the users of the registry data. Maintains active participation in the Trauma Committee and the performance improvement process. 5. Enters data from the electronic medical record and associated documents into the Trauma Registry and various trauma related databases. 6. Facilitates data research and collaborates with the Trauma Medical Director, Trauma Program Director, Trauma Program Analyst, and other trauma team members. 7. May attend trauma rounds and or trauma activations to facilitate data abstraction and performance improvement documentation in the trauma registry. 8. Accountable for data download deadlines to state and national regulatory and accreditation organizations to maintain regulatory compliance, accreditation and qualitative comparisons to other trauma centers. Maintains a plan to ensure timely downloads and deadlines met. 9. Assists with trauma registry upgrades and special projects as requested. 10. Participates in monthly audits and other quality assurance activities to ensure accuracy of trauma registry data. 11. Monitors and reports information technology problems to vendors and director; make recommendation for improvements. Maintains and demonstrates professional competency, according to state regulations, department policies, procedures and protocols. 12. Assists Trauma Services Team in coordination of all data required for the Trauma Site Surveys. 13. Effectively demonstrates the mission, vision, values and culture of service and operational excellence supported by the medical center. 14. Preserves the confidentiality and security of patient data stored in the trauma registry files. Participates in educational activities of local, state and national Trauma associations, maintains required trauma educational hours. Reviews reference material and current literature relative to Trauma Registry. 15. Independently researches and solves complex coding problems or registry issues, collaborating with team/TPD, TMD, vendors, state, regional & national customers.

Position Requirements

Credentials:
Essential:
* AbbreviatedInjurySeverityScore
Nonessential:
* CertSpecialist Trauma Registr

Education:
Essential:
* High School Diploma

Other information:

Education: Minimum of high school diploma, Associate Degree in Health Information Management related degree preferred, or minimum of 2-3 years medical experience. Working knowledge of medical terminology, anatomy and physiology or equivalent on-the-job training and ICD-9,(ICD 10) coding required. Must attend or have previously attended the American Trauma Society’s Trauma Registrar Course or equivalent provided by a state trauma program and the Association of the Advancement of Automotive Medicine’s Injury Scaling Course within 12 months of hire. 

Licensure / Certifications: Certification in CSTR, (Certified Specialist in Trauma Registry) is preferred. AIS (Abbreviated Injury Severity Score) required. 

Experience: 2-3 years Trauma Registry or data registry required. Emergency Medical Services, (EMS), Emergency Department, Operating Room or Critical Care preferred. Previous trauma registry and or medical record coding required. One to two years experience with databases and statistical analysis required. Basic Keyboarding/data entry and basic Windows base software required. 4. Skills and Abilities: Organizational skills with good follow through. Investigative/analytic skills with detail orientation. Professional verbal and written communication skills. 

Demonstrates standards of performance (ownership, teamwork, communication, compassion) that support patient satisfaction and principles of service excellence.
Performs other duties as assigned.
Individual will possess commensurate combination of education, experience and qualifications.

Other Information

This position description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications which may be required of the employee assigned to the position. Depending on the location of the job, duties may vary. Receipt of the job description does not imply nor create a promise of employment, nor an employment contract of any kind; my employment with the Company is at will.

  • Member Top 100 Hospitals – In 2016 NHRMC was recognized as a Top 100 Hospital demonstrating significant investment and financial sustainability for the communities we serve. 
  • Newsweek's 2020 list of Best Maternity Care Hospitals - NHRMC Betty H. Cameron Women's & Children's Hospital was named as a Best Maternity Care Hospital by Newsweek. 
  • Forbes America’s Best Large Employers 2018 and 2019Link 
  • Becker’s 150 Top Places to Work in HealthcareLink 
  • Healthgrades Outstanding Patient Experience

Consider a career at NHRMC and become part of this award winning team!

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