Trauma Registrar

Trauma Registrar

Under general supervision, provides data management expertise to the Program Manager for various database programs. Requires discretion and judgment to organize priorities, complete tasks and handle confidential patient information. Responsibilities include accurate case selection, data extraction and data entry from a variety of sources, as well as, assisting in report preparation, assisting in research activities, and supporting performance improvement. Reports directly to and receives supervision and overall administrative direction related to policies and procedures from the Program Manager for the Trauma, Emergency Surgery and Surgical Critical Care. Also works collaboratively with the Trauma Program administrative team (Trauma Program Nurse Director, Administrative Director and Trauma Attending Physicians

DATABASE RESPONSIBILITIES

• Reviews the proper case selection using the MGH Trauma Division policy for inclusion and exclusion criteria and the ACS guidelines

• Extracts data for all current data fields for the registries from various electronic or paper sources following divisional, MA state, ACS, NTDS, and TQIP policies.

• Fills out data entry forms when appropriate

• Performs diagnostic/procedure coding following ICD10 rules and guidelines

• Performs AIS injury coding following the AAAM coding rules

• Identifies and Enters performance improvement and complication data points per TQIP criteria

• Performs data entry on the cases selected and extracted adhering to the productivity matrix set up by the MGH trauma division and adhering to the ACS standards for Trauma Registrars

DATA MANAGEMENT

• Performs validation by reviewing reports and correcting errors when identified. Reporting discrepancies to manager when unable to resolve

• Assists with data projects with direction from the program manager and may include research projects, education and outreach, data mining or performance improvement activities

• Participates in all aspects of the TQIP Program

• Attends webinars on TQIP education

• Takes quizzes regarding TQIP material

• Proficient with TQIP concepts, definitions, and requirements

• Attends TQIP Scientific Conference yearly

• Performs TQIP data abstraction and data entry

• Adheres to the ACS registrar criteria as set by the ACS COT

ADMINISTRATIVE RESPONSIBILITIE

• Participates in the Performance Improvement Program including producing electronic PI folders

• Medical Records abstracting for PI or other departmental projects

• Perform/participate in special projects at the request of the Program Manager, Nursing Director or Administrative Director

• Other projects assigned by trauma administration

• Stay compliant with CITI certification

• Participates with American Trauma Society registrar programs and learning opportunities

• Responsible to keep up with the newest concepts and techniques for the trauma registry and burn registry

• Cross - covers for other staff members for breaks, lunches, vacations, etc. and during variations in workflow as needed

• 
  Certified in either trauma registry (CSTR) or AIS coding (CAIS) strongly preferred

• Associates Degree in Healthcare or Science

• 3 years of trauma registry experience

• Medical Terminology

• 5 years healthcare experience with experience or knowledge in anatomy, physiology or biology

• Access and Excel experience

Massachusetts General Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.