This job manages trauma registry activities and facilitates continuous quality assessment and improvement in the delivery of trauma care by data collection, data management, data analysis, and reporting of trauma program results. Abstracts accurate data, compiles and verifies statistical reports, identifies issues of noncompliance, and reports any noncompliance issues.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.

This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company’s discretion.

Education

Required - Associate's degree in medical records administration, health information systems or related field.

Preferred- Bachelor’s degree in medical records administration, health information systems or related field.

Work Experience

Preferred - Clinical experience and 3 years of coding experience.

Certifications

Required - Current Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Specialist in Trauma Registries (CSTR) to be obtained within 6 months of hire.

Knowledge Skills and Abilities (KSAs)

• Knowledge of American College of Surgeons (ACS) standards of compliance and ability to maintain the Level One Trauma Certification of the organization.

• Knowledge of and ability to use the Injury Severity Index and the Abbreviated Injury Scale (AIS).

• Analytical skills and the ability to interpret actions impacting patient.

• Knowledge of coding processes and the relationship to how coding effects outcomes monitored.

• Proficiency in using computers, software, and web-based applications.

• Effective verbal and written communication skills and ability to present information clearly and professionally.

• Strong interpersonal skills.

Job Duties

• Reviews all emergency department trauma records and assigns scores using the Injury Severity Index. 

• Collects, interprets, summarizes, reports, and disseminates trauma data, ensuring accurate data abstraction through ongoing quality assurance and data validation processes.

• Prepares data analyses used for presentations at the monthly Trauma Care Committee Meeting.

• Identifies clinical outliers for inclusion in the monthly quality assurance/performance improvement process.

• Maintains the Trauma Registry Policy and Procedure Manual.

• Participates in focus studies and in the preparation of the Level One Trauma Survey by the American College of Surgeons as needed.

• Performs other related duties as required.

The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.

Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.

This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.

The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.

Physical and Environmental Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible.

Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid.

The incumbent has no occupational risk for exposure to communicable diseases.

Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.

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Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Maryland, New York, Washington, and Washington D.C.

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