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GENERAL PURPOSE OF JOB:
Collects, accurately enters all required data elements of trauma registry, and
ensures timely reporting to the Texas Department of State Health Services on at
least a quarterly basis. Ensures quality of trauma data entry and analysis of data
for performance improvement activities.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
To perform this job successfully, an individual must be able to perform each
essential duty satisfactorily. The requirements listed below are representative of
the knowledge, skill, and/or ability required. Reasonable accommodations may
be made to enable individuals with disabilities to perform the essential functions.
This job description is not intended to be all-inclusive; employees will perform
other reasonably related business duties as assigned by the immediate supervisor
and/or hospital administration as required.
- Maintains utmost level of confidentiality at all times.
- Adheres to hospital policies and procedures.
- Demonstrates business practices and personal actions that are ethical and
adhere to corporate compliance and integrity guidelines.
- Demonstrates proficiency in basic computer skills (i.e. data entry, word
processing, spreadsheets, and presentation software)
- Maintains composure, effectiveness and flexibility under pressure.
- Requires a solid understanding of medical terminology and basic ICD-9 and
- ICD 10 coding.
- Must have strong organizational skills, the ability to prioritize workload,
- follow schedules, and meet deadlines.
- Must demonstrate the analytical skills to gather and process data, based on
- predetermined criteria, identify problems and must be detail and accuracy
- oriented.
- Must have excellent interpersonal skills and the ability to interact with
- individuals of diverse backgrounds.
- Must exhibit high level of motivation and self-direction to establish plans of
- action and accomplish tasks.
- Assesses medical records from various points of admission for
- appropriateness of inclusion into the trauma registry.
- Collects and electronically enters all required data elements on all trauma
- patients included in the registry, no later than 45-60 days after discharge.
- Electronically uploads all trauma data to the state registry at least quarterly
- and maintains documentation of download.
- Electronically uploads all trauma data to the National Trauma Data Bank at
- least quarterly and maintains documentation of download.
- Interacts with medical record staff to resolve coding inconsistencies.
- Assists with established audits on trauma patient records.
- Compiles and analyzes reports for committees, providing backup and
- justifications for statistics.
- Attends monthly trauma review committee. Records minutes.
- Coordinates the acquisition of missing information from EMS and transfer
- hospitals.
- Assists in education of staff regarding requirements for audits as it relates to
- trauma standards.
- Maintains trauma log and abstracts.
- Analyzes data for trends for use in injury prevention initiatives.
- Collects submersion data and submits to state registry no greater than 45 days
- after discharge. Maintains record of submission.
- Requests and obtains autopsy reports from local medical examiner for review.
- Participates monthly/quarterly with Coastal Bend Regional Advisory Council
- EDUCATION AND/OR EXPERIENCE:
- High school diploma or general education degree (GED) required; associate
- degree or higher preferred; or 3-5 months related experience and/or training;
- or equivalent combination of education and experience.
- Secretarial and advanced computer skills required.
- Ability to oversee and coordinate registry requirements.
- Excellent written and verbal communication skills are essential.
- Certificates, License, Registrations
- Digital Innovations-Collector course within six months of employment.
- Trauma registrar certifications within two years of employment, as available.
- Knowledge of medical terminology.
- ISS/AIS course within one year of employment.
- American Trauma Society’s Registrar Certification, preferred
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