Trauma Registrar Clinical Data

Job Summary

Identifies, abstracts, and maintains records of applicable / appropriate patients in a registry data system. Analyzes registry data and disseminates information in accordance with professional ethics. Preserves confidentiality and security of patient data stored in registry files.

Essential Functions

• Assists in organization and maintenance of the data system, to meet the needs of the users of registry data, the requirements of State and National reporting, and compliance with American College of Surgeons (ACS) Level I Trauma Center Verification and the State of Michigan Level III or IV Designation.
• Identifies trauma patients for inclusion into computerized trauma registries based on the National Trauma Data Standard Case Inclusion Criteria.
• Collects data from charts of trauma patients based on the National Trauma Data Definition Standards, Michigan Trauma Quality Improvement Program definitions and facility specific definitions.
• Utilizes standard work and data definitions to accurately abstract required data elements. Data sources include: radiological (e.g. magnetic resonance imaging (MRI), computerized tomography (CT), etc.) and operative.
• Assigns and scores patient data utilizing Abbreviated Injury score (AIS), Injury Severity Score (ISS), and ICD10 coding systems.
• Reviews trauma registry data for completeness and accuracy and participates in data validation activities. Insures patient data accuracy/validation and maintains the Trauma Registry computerized system.
• Performs chart abstraction process prospectively and retrospectively.
• Performs queries, generates reports based on the data collected and communications findings to the Trauma Program manager, PI nurses and other appropriate persons. Extracts pertinent information from the data analysis and prepares in a meaningful manner for presentation.
• Meets departmental quality standards during multi-source data abstraction into the registry. Performs data analysis and prepares reports within study parameters
• Participates in meetings and assists with reporting quarterly data findings, special studies and quality control activities as directed by manager.
• Attend ACS and State required Education courses within 12 months of employment. AAAM AIS course and Trauma Registrar Course.
• Performs other duties as assigned.

Qualifications

Required

• Associates degree in Health Information Technician (HIT)
• Skills required: Active listening, communication, computer skills, confidential, organized, time management
• CRT-Abbreviated Injury Scale (AIS) - AAAM (Association for the Advancement of Automotive Medicine) Trauma Services specific (adult and peds) course completed within 1 year of hire date.

Preferred

• Bachelors Degree in Health Information Administrator (HIA)
• 2 years of relevant experience in related experience, preferably in a registry setting
• Knowledge of trauma registry software
• Upon hire: CRT-Registered Health Information Technician (RHIT) - AHIMA (American Health Information Management Association)
• Upon hire: CRT-Registered Health Information Administrator (RHIA) - AHIMA (American Health Information Management Association)

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance
• Traditional and Roth retirement options with service contribution and match savings
• Eligibility for benefits is determined by employment type and status

Primary Location

Site

• Butterworth Hospital - 100 Michigan St NE - Grand Rapids
• Department Name
• Trauma Butterworth - Grand Rapids Hosp
• Employment Type
• Full time
• Shift
• Day (United States of America)
• Weekly Scheduled Hours
• 40
• Hours of Work

7 a.m. - 3:30 p.m.

• Days Worked
• Monday - Friday
• Weekend Frequency
• N/A

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An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.