This position develops, implements and participates in trauma registry data entry practices that ensure accurate data, timely data entry and timely reports to meet criteria for Level I Trauma Center requirements. Is responsible for the daily collection and management of the trauma registry database. Acts as a member of the multi-disciplinary trauma team to support patient quality and performance improvement initiatives and to submit data to state and national entities. The primary role is the collection, abstraction and entering of clinical data for all trauma patients admitted to or evaluated by the trauma service.
For all seriously injured trauma victims, collects all required information, reviews multiple medical records, and abstracts basic patient demographics, clinical procedures, clinical and diagnostic results. Enters abstracts and data, maintains, retrieves, and analyzes records related to the trauma patient's history, diagnosis, therapy, and outcome.
Using scaling and scoring tools such as ICD-9-CM, Trauma Score, Revised Trauma Score, Abbreviated Injury Score, Injury Severity Score, TRISS and the Abbreviated Injury Scale (AIS) developed by the Association for the Advancement of Automotive Medicine (AAAM), codes injuries and procedures for the database as required for clinical care, research, benchmarking and accreditation; accurately codes each, using the AIS Abbreviated Injury Scale, ICD-9 and CPT coding tools. Ensures the hospital remains compliant with all standards as they relate to Joint Commission, American College of Surgeons, National Trauma Data Base and Adult Level I accreditation.
Maintains the Trauma Registry database in compliance with state regulations and certification requirements. Assists team with documentation and management of the registry database as it relates to clinical research, benchmarking and accreditation.
Develops and produces timely reports as requested by administration and/or the American College of Surgeons for accreditation initiatives and re-verification.
Works as an integral part of the hospital and trauma quality and performance improvement initiatives. As assigned, maintains agendas, schedules, minutes and integrates information from quality meetings and initiatives into the registry.
Requires a level of education equivalent to that of a Registered Health Information Technologist (RHIT) or certified coder, including advanced education in medical terminology, anatomy and physiology.
Must have a level of experience and ability in coding, abstracting and data management as normally acquired over two or more years of clinical and/or experience in a coding or clinical data management position. Requires the ability to interpret and comprehend information contained within the patients medical record and to find all ancillary information required by the Trauma Registry. Requires the ability to abstract registry data from the patients medical/health record using the above standard setters with regard to abstracting and coding procedures.Must have excellent organizational, written and verbal communication skills, and the ability to prioritize multiple work projects and tasks.
Exceptional data entry and data management skill sets are required. Must be able to work effectively with common office computer software, the Trauma Registry software, the electronic medical records system and databases, spreadsheet and graphical programs.
Registered Health Information Technologist or Registered Health Information Administrator certification (RHIT or RHIA)Certified specialist Trauma Registry (CSTR) preferred.LPN or RN preferred.
Additional related education and/or experience preferred.
You want to change the health care industry – one life at a time. You belong here. You’re excited to be part of the dramatic changes happening in the health care field. In fact, you thrive on change. But you also understand that excellent, compassionate patient care is the true measure of the success of these changes. You belong at Banner Health. Our award-winning, comprehensive health system includes 23 hospitals in seven western states, primary care health centers, research centers, labs, a network of physician practices and much more. Throughout our system, skilled, compassionate professionals use the latest technology to change the way care is provided. If you’re looking to be a key contributor to a forward-looking organization, you’ll experience a wide variety of professional advantages: •Our vision for changing the future of health care gives you the opportunity to leverage your abilities to achieve something historic. •Our expansive system offers you an unmatched variety of clinical settings – from large urban trauma center to small rural hospital, ambulatory to home health. Our system also includes hospitals specializing in cancer, heart health and pediatrics. •Our many loc...ations also translate into a broad selection of exciting and rewarding lifestyle options – from the big city to the wide-open spaces. •Our commitment to healthcare innovation means you always have the latest technologies at your fingertips to help you provide the finest care possible. •The size, success and growth of our system provide you with the stability and options to pursue your desired career path. •Our competitive compensation and comprehensive benefits offer you options to complement your unique needs.