Trauma Registrar - Trauma Services FT- Days

Job Category: Administrative & Clerical Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. About the Role: Job Summary The Trauma Registrar's primary responsibility is for Trauma Registry data abstraction and input. This includes such activities as identification of patients meeting Registry inclusion criteria, chart abstraction, AIS and ICD-10 coding, and data entry. The Trauma Registrar primarily works 8:30 - 5:00 pm EST, but hours may vary based on the needs of the department. Minimum Job Qualifications Licensure or other certifications: Educational Requirements: High School Diploma or GED. Minimum Experience: Minimum one (1) year previous experience with a registry (Trauma, Cardiac, Stroke, Cancer, etc.). Minimum two (2) years previous experience in the healthcare field, including knowledge of medical terminology, anatomy and physiology, ICD-10-CM and ICD-10-PCS coding, chart abstraction and data collection. Other: Preferred Job Qualifications Preferred Licensure or other certifications: Certified Specialist in Trauma Registry (CSTR) within two (2) years of certification eligibility. Preferred Educational Requirements: Preferred Experience: Other: Job Specific and Unique Knowledge, Skills and Abilities Excellent computer skills (Microsoft Office, Excel and Word) Strong knowledge of anatomy, physiology, medical terminology and ICD-10 diagnosis and procedure codes Strong attention to detail and work accuracy Strong interpersonal communication skills Strong time management skills and ability to work with minimal supervision or minimal group interaction Ability to operate standard office equipment, i.e., copier and printer Essential Tasks and Responsibilities Trauma Registry. Utilizes the Georgia Office of EMS & Trauma criteria, ICD-10 codes, and diagnoses to identify patients requiring inclusion into the Trauma Registry. Initiates medical record abstraction within 48 hours of trauma patient admission and completes Registry record in a timely manner as defined by the trauma PIPS plan. Abstracts all pertinent patient information required by the registry including but not limited to, demographics, pre-hospital, ED, inpatient, diagnoses, co-morbidities, complications and procedures. Enters all required patient data into the Trauma Registry. Determines each patient's AIS, ISS and ICD-10 codes based on anatomic and physiologic data in the medical record. Completes 80% of trauma records within 60 days of patient discharge. Assures all registry data is complete and accurate prior to submitting to supervisor for review and final submission of reports to required regulatory agencies. Creates basic reports, charts and graphs not requiring advanced Registry knowledge. Participates in State trauma activities, meetings and conferences at the request of the supervisor or Service Line Director. Education and Training. Completes 2 courses within first 12 months of hire including AAAM Scaling course and ATS Registry course or equivalent. Completes at least 8 hours of continuing education related to Registry per year. Helps educate new Trauma Services staff and TACS physicians and APPs about the Trauma Registry. Helps educate staff in other departments about the Trauma Registry and other trauma patient identification processes at the discretion of the Trauma Program Director. Administrative Support. Actively participates in TACS PI initiatives and staff meetings. Physical Demands Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time Weight Carried: Up to 20 lbs, Occasionally 0-30% of time Vision: Moderate, Frequently 31-65% of time Kneeling/Stooping/Bending: Occasionally 0-30% Standing/Walking: Occasionally 0-30% Pushing/Pulling: Occasionally 0-30% Intensity of Work: Occasionally 0-30% Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding, Driving Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals. NGHS: Opportunities start here. Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status. Northeast Georgia Health System (NGHS) is a non-profit on a mission of improving the health of our community in all we do. Our team cares for more than 1 million people across the region through five hospitals and a variety of outpatient locations. Northeast Georgia Medical Center (NGMC) has campuses in Gainesville, Braselton, Winder, Dahlonega and Demorest – with a total of more than 850 beds and more than 1,200 medical staff members representing more than 60 specialties. Learn more at www.nghs.com.