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TRAUMA REGISTRAR

Company: South Shore Health
Location: Weymouth
Posted on: January 28, 2023

Job Description:

If you are an existing employee of South Shore Health then please apply through the internal career site.

Requisition Number:

R-9921

Facility:
LOC0001 - 55 Fogg Road55 Fogg RoadWeymouth, MA 02190

Department Name:

SSH Trauma Program

Status:

Full time

Budgeted Hours:

40

Shift:

Day (United States of America)

Responsible for aspects of the Trauma Registry to include data abstraction, data entry, ICD and AIS coding, report generation and all state, and national downloads.
Essential Functions

1. Extrapolate, correlate and interpret all aspects of trauma patient care from medical records and trauma registry.

a. Maintains current accurate data within the trauma registry by collecting, entering, retrieving and reporting data related to all trauma patients and data completion of the trauma patient population.

b. Exhibits proficiency in data management and aggregation and analysis.

c. Analyzes statistical data; file data; prepare reports and summaries; understand and carry out oral and/or written instructions.

d. Responsible for data submission/distribution/report generation to/for the appropriate parties within the designated time frame.

e. Uses charts, medical records and other department's databases to identify procedural or treatment complications.

f. Reviews/manages ICD and AIS coding, report generation and all state, and national downloads.

g. Identifies when ICD 10 codes in coding summaries are incorrect and supply correct code for trauma registry reporting.

2. Abstracts all pertinent patient information and data points in the registry and as required by trauma standards including but not limited to, demographics, pre-hospital, ED, inpatient, diagnoses, co-morbidities, complications and procedures.

3. Assures all registry data is complete and accurate prior to submitting to supervisor for review and final submission of reports to required regulatory agencies.

4. Supports the Trauma Program to ensure Level 2 Trauma Verification by the American College of Surgeons Committee on Trauma is maintained.
a. Determine appropriate ICD-10 codes for injuries and procedures.

5. Serves as the subject matter expert for the registries assigned and ensures each project is in compliance with registry standards and specifications.

6. Participates and supports preparation for and actual surveys by the American College of Surgeons (ACS) . Responsible for participating in audits of records and data audit filters as assigned by the Trauma Program Manager and/or designee.

7. Completes 80% of trauma records within 60 days of patient discharge.

8. Participates in State trauma activities, meetings and conferences at the request of the Trauma Program Manager.

Essential Functions (Cont.)

I. Technology and Learning

a. Participates in continued learning and possess a willingness and ability to learn and utilize new technology and procedures that continue to develop in their role and throughout the organization.

b. Embraces technological advances that allow us to communicate information effectively and efficiently based on role.

c. Computer skills essential including Excel, Word, PowerPoint. Experience with Epic highly preferred.

Demonstrates strong analytical skills; strong communication skills; excellent interpersonal skills; excellent organizational skills with the ability to prioritize requests and assignments. Self-directed with initiative to function independently as needed. Manages and prioritizes multiple tasks during periods of intense activity and work with minimum supervision. Maintains confidentiality relevant to sensitive information.

Minimum Education - Preferred
Level of knowledge equivalent to that ordinarily acquired through completion of an Associate's Degree in Health Information Technology or Nursing preferred. Medical records coding and abstracting experience preferred. Knowledge of medical terminology, anatomy and physiology and trauma disease processes is essential.

Minimum Work Experience
Minimum of two years experience in Health Information, medical coding or Nursing.

Certifications

Required: CAISS (certified abbreviated injury scale specialist) certification required at time of hire.

Preferred:

Participate in and pass the most recent version of the AAAM's AIS course within 12 months of hire.

Completion of a trauma registrar course within 12 months of hire

Participate in an ICD-10 course within 12 months of hire or within the last 5 years

On site- Monday-Friday 8am-4:30pm

Responsibilities if Required:

Education if Required:

License/Registration/Certification Requirements:

Keywords: South Shore Health, Weymouth , TRAUMA REGISTRAR, Other , Weymouth, Massachusetts

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