Address
Form of workPosition Title:
Trauma Registrar - University of Oklahoma Medical Center Department:
Trauma Program Job Description:
General Description:
The Trauma Registrar is responsible for reviewing and analyzing data within the medical record and trauma care reports reflecting health care provided to patients to ensure comprehensive quality care and identification of performance gaps.
Essential Responsibilities:
Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position.
- Has working knowledge of the American College of Surgeons and Oklahoma State Department of Health inclusion criteria and ability to review reports and/or charts for possible candidates and select qualifying patients
- Accurately Codes and reports treatment of cases using the current International Classification of Diseases (ICD-10 CM) and Abbreviated Injury Scale (AIS) Coding
- Reviews care provided and identifies variations in the process or outcome of care provided
- Responsible for the data management, case findings, abstracting, data retrieval and analysis
- Ensures that all functions of the registry are met using the guidelines set forth by the American College of Surgeons, the National Trauma Data Bank (NTDB), and the Trauma Quality Improvement Program (TQIP)
- Reports statistics to physicians, administration and outside agencies upon requests
- Assist with information regarding the Trauma Registry
- Meets established guidelines for record completion in the Trauma Registry
- Participates in inter-rater validation of abstracted patient records
General Responsibilities:
- Performs other duties as assigned
Minimum Qualifications:
Education: None required. Bachelors preferred.
Experience: None required. Two years of experience in coding, abstracting data or emergency room activities preferred.
OR an equivalent combination of education and experience
License(s)/Certification(s)/Registration(s) Required: Must have previously attended, or attend within 12 months of employment the following courses: The American Trauma Society’s Trauma Registrar Course or equivalent provided by a state trauma program, The Association of the Advancement of Automotive Medicine’s Injury Scaling Course, ICD-10 Coding Course. RHIA or RHIT preferred.
Knowledge, Skills and Abilities:
- Understanding of medical terminology required.
- Utilization of electronic Medical Records
- Knowledge of principles and practices of trauma registry and medical records and policies and procedures.
- Knowledge of indexing, classification and staging systems.
- Will need to know medical terminology, anatomy and physiology pertaining to trauma processes.
- Database management skills, especially in abstracting and coding trauma related data from medical records and laboratory reports that are computerized.
- Knowledge of report writing.
- Good computer and interpersonal skills.
Current OU Health Employees - Please click
HERE
to login. OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.
