Trauma Registrar II

Are you looking to make a difference by improving the health of our patients?  Here you will find an innovative culture that is patient-focused and dedicated to making a difference.  We are committed to helping the population we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. 

The Trauma Registrar II general supervision identifies and abstracts trauma cases from the medical record for inclusion in the trauma registry in accordance with American College of Surgeons standards, NYS DOH and other accreditation bodies; communicates with EMS agencies regarding collection of missing trauma related pre-hospital data; abstract data from the patient’s chart and accurately enter data into the appropriate computerized database in a timely manner; verify completeness and integrity of registry data; assist in preparation of trauma information for submission to the NYS DOH and other appropriate regulatory agencies; assist in preparation of reports as requested; use word processing and spreadsheet applications for communication and record keeping; participate in trauma department’s PIPS, QI/QA, and trauma or other related registry conferences as requested; provide assistance with ATLS, TNCC, ENPC courses and EMS education activities; maintain confidentiality of trauma related activities and attend Local or State meetings as required.

• Accurately abstracts trauma injury, diagnosis, operative and other pertinent data from patient records
• Abstracts clinical data from patient records including pre-hospital, Emergency Department and transfer patient information
• Communicates with outside agencies for missing data
• Identifies potential trauma related care issues and provides appropriate feedback to Trauma Program Manager, Trauma Program Director or other staff monthly as indicated
• Identifies potential coding errors and reports them as indicated
• Assists Trauma Program Manager with reports as requested
• Reviews actual documentation on trauma patients for accuracy and completeness while abstracting data
• Assists with development and implementation of quality management program for trauma services
• Maintains the trauma registry and is up to date 90-95% of the time as measured by the Manager on a yearly basis
• Maintains the Bassett Trauma Registry by collecting, reviewing, and entering data of patients each year as tracked by the registry
• Maintains trauma logs
• Maintains confidentiality and security of all patient information in compliance with hospital and federal regulations
• Uses quality data to identify potential issues, trends and educational opportunities
• Submits timely data to appropriate agencies (NYSDOH, NTDB, TQIP)
• Generates and runs reports for QA/PI as required or requested to facilitate continued education and system improvement
• Minimum of eight (8) hours of continuing education pertaining to quality management of trauma program
• Participates at NY State Trauma Advisory Committee (STAC) and Regional Advisory Trauma Committee (RTAC)
• Participates in STAC registrar sub-Committee meetings and attends general session. Supports research projects as requested
• Participates in RTAC meetings and regional PI as required
• Builds relationships with other trauma professionals within the state system
• Provides program support for injury prevention and EMS education
• Participates in local prevention programs as needed
• Assists with EMS education programs as needed
• Performs administrative duties as needed
• Performs other duties as requested and observed by supervisor or manager

Education:

• High School Diploma/GED, preferred
• 2 Year/Associate Degree, preferred
  • Associates may be used towards 1 year of experience

Experience:

• Experience with computer data entry, databases and spreadsheets, required
• Minimum 1 year work experience as a trauma registrar, preferred
• Experience with International Classification of Diseases (ICD-10) and CPT coding and billing, preferred
• Experience with Abbreviated Injury Scale/Injury Severity Scores (AIS/ISS)
• Experience with the institutional trauma registries and electronic medical records, preferred

Licensure/Certifications:

• Certified specialist in trauma registries (CSTR) or One (1) years of experience working with trauma registries in NY State Trauma system. Must obtain within one year of hire, preferred
• American Trauma Society’s Trauma Registrar Course or equivalent provided by a state trauma program and Association of the Advancement of Automotive Medicine’s Injury Scaling Course. Must obtain within one year of hire, preferred
• AAAM AIS Course Certificate. Must obtain within one year of hire, preferred
• ICD-10 Course Certificate. Must obtain within one year of hire, preferred

Skills:

• Adaptability
• Attention to Detail
• Communication
• Data Management
• Quality Assurance

Physical Requirements:

• Light Work - Exerting up to 20 lbs of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg control requires exertion of forces greater than that of sedentary work and if the worker sits most of the time, the job is considered light work
• Occasional balancing, climbing, crouching, kneeling, lifting, pulling, pushing, stooping, walking
• Frequent grasping, standing, visual acuity (color, depth, perception)
• Constant typing/clerical/dexterity, hearing, reaching, repetitive motion, seeing/monitor/computer use, talking

Hazards:

• Occasional bodily fluids/bloodborne exposure

Working Conditions:

• Occasional noise, vibration, wet and/or humid, dust, fumes, gases, mists, odors

Travel:

• Occasional Travel - The job may require travel from time- to-time, but not on a regular basis

Bassett Healthcare Network’s commitment to our employees includes benefit programs carefully designed with the needs and values of all our employees in mind. Many of the benefits we offer are paid fully or in large part by Bassett. Our generous benefits offerings include:  

• Paid time off, including company holidays, vacation, and sick time
• Medical, dental and vision insurance
• Life insurance and disability protection
• Retirement benefits including an employer match 
• And more!

Specific benefit offerings may vary by location and/or position.