Role OverviewThe Trauma Registrar is responsible for ensuring accurate and reliable data entry into the Trauma Database to support the University Hospitals Cleveland Medical Center Adult Trauma Center and other UH system hospitals. This includes collecting and maintaining data on injury events, demographics, pre-hospital information, diagnosis, ICD-CM code, patient care, outcomes, and costs of treatment. The Trauma Registrar must also ensure compliance with Ohio and national regulations for trauma data collection and reporting.
What You Will Do
Collect and enter data into the Trauma Database, abstract data from patient charts, assign proper E-codes, Injury Severity Score, Abbreviated Injury Scale, and ICD10 coding. Prepare quarterly trauma data reports for non-trauma hospitals and submit reports to the Ohio Trauma Registry and National Trauma Data Bank. Coordinate office activities, including billing, tracking revenues and disbursements, and ordering supplies.
Why It Might Be a Fit
The ideal candidate will have a strong understanding of anatomy and medical terminology, as well as experience in medical record format, data handling, and trauma registry methodology. They should also be proficient in using MS Access, Word, Excel, PowerPoint, and Trauma Base software. Excellent communication skills and the ability to work independently are essential.
Requirements
- Associate's Degree in Health Information Management (Required) or High School Equivalent / GED with 2+ years of trauma registry experience (Required)
- Experience in medical record format (Required)
- Experience using computerized programs for data handling, knowledge in trauma registry methodology, case abstracting, data entry, ICD-9/10 CM coding (Required)
- Comprehensive knowledge of anatomy and medical terminology and procedures (Required proficiency)
- Demonstrates expertise in using MS Access, Word, Excel, PowerPoint, and Trauma Base software (Required proficiency)
- Excellent Communication Skills (Required proficiency)
- Ability to type 30 WPM accurately (Required proficiency)
- Ambitious and able to work independently (Required proficiency)
- Detail-oriented, goal-oriented, and able to meet deadlines with little supervision (Required proficiency)
- Registered Health Information Technologist (RHIT) (Preferred)
- Certified Specialist in Trauma Registry (CSTR) (Preferred)
Benefits
- Paid holidays
- Vacation time
- Sick leave
- Health insurance
- Retirement plan
- Learning budget
- Parental leave
- Wellness programs
- Visa/relocation assistance
- Remote flexibility
- Stipends
- Bonus/commission
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