Trauma Registry Specialist, Trauma Registration, Full-Time, Days

* 1-2 years’ experience in abstracting data from medical records, preferably ED/Trauma related* Experience in data collection using ICD-10 clinical manager codes preferred* Demonstrated ability to understand medical terminology and the ability to identify and abstract medical data from paper and electronic medical records* Demonstrated ability to work accurately work accurately under department timelines, exercising good judgement with minimal supervision* Strong typing and computer skills (data entry/retrieval techniques)* Demonstrated computer and software troubleshooting skills, including spreadsheets and word processing* Ability to read and interpret written and transcribed documents in the medical record, and ability to enter complete data into on-line computer system* Excellent written and verbal communication/interpersonal skills and the ability to deal with individuals of varying comprehension levels* Must possess tact and diplomacy skills to obtain information from a variety of hospital and public sources* Demonstrated ability to analyze and interpret data* Understands how this position’s duties relate to the overall functions of the hospital and to the provision of high-quality service* Demonstrates flexibility, adaptability, and professional behavior when faced with changes and challenges* Demonstrates the ability to assess a situation, consider alternatives, develop options, and choose an appropriate course of action* Seeks guidance and direction as necessary for performance of duties. Assesses appropriate resources prior to making decisions* Demonstrates a personal commitment to continuous quality improvements* Takes responsibility for ongoing personal development, professional growth, and continuing education* Demonstrates customer/guest relations skills (such as active listening, paraphrasing, empathy, and positive communication) with internal and external contacts* Develops and maintains cooperative working relationships with all members of the department* Develops and maintains cooperative working relationships with facility personnel outside of the department* Interacts with patients, families, visitors, physicians, and others in a courteous manner* Maintains the confidentiality of patient and facility records and information* Organizes activities to achieve maximum productivity and efficiency during assigned shift* Completes routine and priority tasks within established time frames* Demonstrates the ability to recognize and deal with priorities* Performs duties in an independent manner with minimal supervision or direction* Readily offers to assist others* Demonstrates a thorough understanding of the facility’s fire, safety, and disaster procedures, as contained in the applicable facility manuals, and can verbalize/demonstrate role* Follows safety procedures, operates equipment, and performs job-related duties in a safe manner which prevents accidents* Attends and actively participates in department and facility meetings and classes, including fire, safety, and disaster programs* Observes the department dress and grooming code and wears facility identification badge* Promptly reports unsafe conditions, and all required repairs or maintenance on equipment, to appropriate staff members* Maintains a clean and safe work environment* Demonstrates use of correct body mechanics in performing work* Abstracts data from multiple sources, including the patient medical record, admission logs and nursing records* Abstracts from various patient records, required information including treatment during hospitalization, complications and hospital discharge status* Inputs into database information on identified hospital course variables and hospital discharge variables* Reviews data input to assure accuracy and completeness of Registry records* Performs data validation for accuracy and completeness of registry records.* Reviews medical record, interprets information, and enters complete and accurate data into on-line computer system* Submits requests to Medical Records Dept. for chart retrieval* Assists in the management of daily operations of the trauma registry* Audits Trauma Registry in compliance with American College of Surgeon Standards* Reports performance improvement issues to Trauma Program Manager/Trauma Director* Follows through on research of performance improvement issues identified
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