The Trauma Registrar is primarily responsible for all activities necessary for development and maintenance of the Munson Medical Center (MMC) Trauma Registry. This position may also provide clerical support to the Trauma Medical Director and Trauma Program Manager, by typing procedures, letters, reports, minutes and assisting with the coordination of materials for presentations and educational and outreach activities specific to the trauma service at Munson Medical Center (MMC).
Associateâs degree in Health Record Technology or equivalent required; a Bachelorâs Degree in Health Information Management is preferred.
Minimum of one year previous experience using ICD-10-CM/ ICD-9-CM coding systems is required.
Must complete the American Trauma Societyâs Trauma Registrar Course and the Association of the Advancement of Automotive Medicineâs Injury Scaling Course (C 15-7) within 12 months of hire.
Certification as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Coding Specialist (CCS) is preferred.
Demonstrated ability to meet productivity and quality standards is required.
Previous abstracting experience is preferred.
Previous experience with a computerized encoder system is preferred.
Current ability to efficiently work with Windows and at least one major word processing program (1998 MS Word or better preferred).
Must also have experience with at least one spreadsheet or database program i.e. Access or Excel or a recognized hospital data entry program i.e. APACHE, HTR, TRACS.
Self-directed with excellent communications and problem-solving skills (evidence necessary to support communication skills i.e. references or past performance evaluations).
Will be able to independently devise and verbalize methods for problem resolution. Will demonstrate qualities and work ethics that are consistent with the values of Munson Medical Center.
Infrequent exposure to communicable diseases, hazardous substances and adverse working conditions.
Reports to the Trauma Program Manager.
AGE OF PATIENTS SERVED
Cares for patients in the age category(s) checked below:
X No direct clinical contact with patients
Supports the mission statement of Munson Medical Center (MMC): Munson Medical Center is the core of a regional health system. In partnership with physicians, we provide quality, compassionate, comprehensive and cost-effective services for improvement of the health of our patients and the communities we serve.
Embraces and supports the Continuous Quality Improvement (CQI) philosophy of Munson Medical Center: We are committed to the name “Munson” meaning excellence. We will provide services that meet our customers’ requirements every time.
Adheres to Exceptional Skills with People (ESP) House Rules at all times.
Acknowledges that safety is a self-responsibility. Knows the physical requirements of the job and work within those guidelines. Performs job duties safely at all times, utilizing learned body mechanics and transferring/lifting techniques. Plans actions to promote safety. Reports any unsafe situation/equipment according to Hospital procedure.
Data abstraction and entry into the trauma registry. This includes identification of all reportable cases for inclusion in the registry from ER patient log. In addition, concurrent abstraction from in-house charts in coordination with the Trauma Coordinator and other Trauma Service Data Collection Assistants will be an expectation. Report generation for Trauma PI and all research activities related to the MMC Trauma population would be a routine function of the Registry role. Furthermore, membership and active participation in Michigan and local Trauma Registry Committees/Councils is an essential piece of this function.
Performs clerical duties. This includes typing letters, reports, minutes, and procedures. Maintenance of Trauma manuals, mailing lists and logs is also included.
Accurately codes medical information using AIS, ISS and where appropriate ICD-9-CM after obtaining appropriate training opportunities for maintenance of accurate ISS scores for the MMC Trauma Registry.
May assist with development of PowerPoint presentations, lecture and presentation materials for Trauma Service educational and outreach activities. May include assistance with clerical activities for TNCC and ENPC courses.
Development of data acquisition forms, charts, and reports from Access or Excel when necessary.
Communicates with physicians to request clarification on a condition/procedure or to request the addition of same to enhance DRG reimbursement or the severity index or to be consistent with established guidelines.
Performs other duties and responsibilities as assigned.
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