Trauma Registry Analyst, PT, Day-Remote

Job Summary

The Trauma Registry Analyst supports the Prisma Health Trauma Program and organizational requirements for verification/designation as a Trauma Center by the State Department of Public Health and American College of Surgeons Committee on Trauma (ACSCOT). The Analyst is responsible for all aspects of the Trauma Registry Data including abstraction, entry, and coding.

About the Role

Requires knowledge of State and National Trauma Standards (NTDS) and applies this knowledge in patient identification, data abstraction, co-morbiity and complication recognition to the trauma registry. Performs ICD-10 coding and AIS (Abbreviated Injury Scale) coding of all diagnoses and procedures of trauma patients. Data collected is utilized for quality improvement, research, and performance evaluation.

Responsibilities

• Accurately identifies patients for inclusion in the trauma registry as specified by the National Trauma Data Standard (NTDS), State Trauma Registry, and Trauma Center.
• Abstracts clinical data from Emergency Management System (EMS) Patient Care Record (PCR), in-patient medical record, referring hospital records and autopsy reports including patient demographics, injury event, pre-hospital information, injury diagnoses, operative and other procedures, ED data, co-morbidities, complications, patient outcome and financial data as defined by State Trauma Registry, NTDS, and Trauma Quality Improvement Program (TQIP).
• Accurately codes all diagnoses, procedures and external cause/location of the trauma patient using AIS coding and ICD-10 coding following trauma center, State Trauma Registry, NTDS, and TQIP guidelines.
• Participates in the PI process and supports research by gathering data on hospital specific performance and research metrics.
• Identifies and reports complications, comorbidities, issues and trends identified to leader.
• Performs data validation and correction of registry data at the close of each chart using the registry software validation tool.
• Performs logic validations monthly and makes corrections. Performs data corrections as needed per validation reports and prior to State and Trauma TQIP data submission.
• Completes assigned inter-rater validations.
• Performs other duties as assigned.

Requirements

• Education - Associate's degree in HIM or related healthcare field preferred.
• Experience - One (1) year of trauma registry, coding, HIM or relevant healthcare related experience.
• Required Certifications, Registrations, Licenses - One of the following certifications is preferred: CSTR (Certified Specialist in Trauma Registries) from the American Trauma Society or CAISS (Certified Abbreviated Injury Scale Specialist) from the Assoc. for the Advancement of Automotive Medicine (AAAM). An AHIMA (American Health Information Management Assoc) or AAPC (American Academy of Professional Coders) coding certification preferred. RHIT, RHIA, or CCS preferred.

Qualifications

• Knowledge of anatomy and physiology and medical terminology as well as disease processes.

Skills and Abilities

• Knowledge of trauma standards and ability to apply this knowledge in patient identification, data abstraction, co-morbiity and complication recognition to the trauma registry.
• Ability to perform ICD-10 coding and AIS coding of all diagnoses and procedures of trauma patients.
• Ability to participate in the PI process and support research by gathering data on hospital specific performance and research metrics.
• Ability to identify and report complications, comorbidities, issues and trends identified to leader.
• Ability to perform data validation and correction of registry data at the close of each chart using the registry software validation tool.
• Ability to perform logic validations monthly and make corrections. Ability to perform data corrections as needed per validation reports and prior to State and Trauma TQIP data submission.
• Ability to complete assigned inter-rater validations.
• Ability to perform other duties as assigned.