Trauma Registrar

4 weeks ago


Gainesville, Georgia, United States Northeast Georgia Health System Inc Full time
Job Summary

The Trauma Registrar's primary responsibility is for Trauma Registry data abstraction and input. This includes such activities as identification of patients meeting Registry inclusion criteria, chart abstraction, AIS and ICD-10 coding, and data entry. The Trauma Registrar primarily works 8:30 - 5:00 pm, but hours may vary based on the needs of the department.

Key Responsibilities
  • Abstracts all pertinent patient information required by the registry, including demographics, pre-hospital, ED, inpatient, diagnoses, co-morbidities, complications, and procedures.
  • Determines each patient's AIS, ISS, and ICD-10 codes based on anatomic and physiologic data in the medical record.
  • Enters all required patient data into the Trauma Registry.
  • Completes 80% of trauma records within 60 days of patient discharge.
  • Assures all registry data is complete and accurate prior to submitting to supervisor for review and final submission of reports to required regulatory agencies.
Requirements
  • High School Diploma or GED.
  • Minimum two (2) years previous experience in the healthcare field, including knowledge of medical terminology, anatomy, and physiology.
  • ICD-10 coding, chart abstraction, and data collection experience.
Preferred Qualifications
  • Certified Specialist in Trauma Registry (CSTR) within two (2) years of certification eligibility.
  • Strong knowledge of anatomy, physiology, medical terminology, and ICD-10 diagnosis and procedure codes.
Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals.

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