Trauma Registrar - Southside Medical Center

Join to apply for the Trauma Registrar - Southside Medical Center role at Bon Secours Mercy Health

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence.

Please be aware that proof of ICD-10 coding, college-level Anatomy/Physiology coursework, and college-level Medical Terminology coursework is required.

The Trauma Registrar is responsible for the collection and abstraction of data base elements following the criteria of inclusion for state and/or national trauma databases.

• The Trauma Registrar identifies cases for inclusion into the registry database from various sources including the Master Patient Index, the ED log, and the Trauma Log based upon the guidelines of National Trauma Data Base standard.
• Data abstracted will be from various sources including, but not limited, to the electronic medical record, prehospital databases, autopsies reports, and other data sources, either electronic or not that will substantiate the injured patient.
• The Trauma Registrar will assign ICD-10 CM diagnosis codes for diagnosis, comorbidities and complications and ICD-PCS procedure codes for procedures according to the established and published Official Coding Guidelines.
• The Trauma Registrar will assign and verify AIS codes required for severity of illness and probability of survival as established through AAAM manual for AIS coding.
• Daily chart review and data entry into the Trauma Registry on established patients who meet criteria will be performed.
• The Trauma Registrar reports all complications and quality issues to the Trauma PI Coordinator as soon as discovered.
• The Trauma Registrar ensures adherence to data management protocols set forth to ensure accurate and timely reporting of data to the organization and regulatory agencies.
• The Trauma Registrar assists with performance improvement activities.

• Certified Abbreviated Injury Scale Specialist (CAISS)
• Certified Specialist in Trauma Registries (CSTR)
• Certified Professional Coder (CPC)
• Certified Coding Specialist (CCS)
• Registered Health Information Administrator (RHIA)
• Registered Health Information Technician (RHIT)
• Paramedic (EMT-P)

• One (1) year work experience in registry data abstraction/coding
• Two (2) years experience in medical data abstraction/coding.
• Proficiency with MS Office software including email, MS-Word, and MS-Excel.

• Experience in trauma or surgery registry abstraction/coding
• Expert skills using Windows-based software (word processing, spreadsheet, databases)
• Abstracting experience using current requirements by state and national regulatory bodies.
• Experience with medical terminology and acronyms related to diagnosis, procedures, complications and comorbid conditions
• Experience with accurate and timely data entry and verification to maintain high standards of data quality control.

• Work experience may be considered in lieu of credentials not required by law with HR approval. Work experience must be specific to role such as emergency medical services or healthcare related field.
• Completion of ICD-10 coding courses
• Completion of college-level Anatomy/Physiology courses
• Completion of college-level Medical Terminology courses.

• Associate’s Degree in any field that includes two semesters of medical terminology and Anatomy/Physiology, or in medical records coding from an accredited program.

• Ongoing data validation scores at the level of 95% accuracy following 12 months of employment and fulfillment of onboarding training requirements. (All levels registrars must maintain)
• Certification by the Association for the Advancement of Automotive Medicine as an Abbreviated Injury Scale Specialist (CAISS) within 24 months of hire is required for Trauma Registrars.

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription…