Trauma Data I Specialist, Trauma Center

Responsibilities

• Data Abstraction: Obtains, abstracts, and enters all appropriate patient-related information into the appropriate databases in an accurate and timely manner.
• Coordinating the collection of data from various sources, including but not limited to EPIC and its integrated medical record contents, EMS run report databases, and the coroner.
• Ensures that data is abstracted to meet data deadlines for the UC Health trauma and hospital quality committees, the American College of Surgeons (ACS) National Trauma Data Bank registry, the Ohio Trauma Acute Care registry, the Tri-State Trauma Coalition, and the American Burn Association.
• Participates in ongoing clinical research program’s data collection.
• Coding: Assigns ICD10 codes for all diagnoses and procedures to maintain the Trauma, Burn, and Acute Care Surgery patient databases. Assigns Abbreviated Injury Scaling (AIS) codes to all injuries per the American Association for the Advancement of Automotive Medicine (AAAM) rules and guidelines.
• Validation: Performs monthly and ad-hoc validation of registry data to maintain consistency and quality of data collection for continuous quality improvement and research purposes. Assists in performing inter-rater reliability validation of registry data. Achieves and maintains a validation accuracy rate of 90% or higher.
• Financial Reporting: Analysis and reporting of UB-04 FL 14 (Type 5) trauma admission type to identify trauma patients with a trauma activation. Performs proper assignment of Epic Registry FYI codes to automate UB-04 68x reimbursement codes for trauma activations with hospital prenotification. Analysis and reporting of UB-04 208 trauma ICU reimbursement code.

Qualifications

• Associate degree in healthcare, technology, education, Health Information or related field.
• Successful completion of the following courses within 12 months of hire: An Abbreviated Injury Scaling (AIS) Coding course from the Association for the Advancement of Automotive Medicine (AAAM). The American Trauma Society Registrar Course or State equivalent required by the American College of Surgeons that includes content on abstraction, data management, reports/reports analysis, data validation, and HIPAA.
• Possession of one or more of the following certifications preferred: Certified Specialist in Trauma Registry (CSTR), Certified Abbreviated Injury Severity Scale Specialists (CAISS), Certified Inpatient Coder (CIC) from the American Academy of Profession Coders (AAPC), Certified Coding Associate (CCA) from the American Health Information Management Association (AHIMA), Certified Coding Specialist (CCS) from the American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) from AHIMA, Registered Health Information Administrator (RHIA) form AHIMA.
• A minimum 1 - 2 Years equivalent experience Required. Preferred: 3 - 5 Years equivalent experience. Two years or more of Trauma Registry Experience or equivalent in lieu of Associate’s degree.