As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality and trust that are integral to our mission. EO/AA
The Trauma Registrar is responsible for the collection, entry, validation and maintenance of injury data for our Level 1 Trauma Center. Utilizing analytical and cognitive skills, the Trauma Registrar collects trauma data that is used for improvement in clinical care, injury research, epidemiology, prevention initiatives and performance improvement. The registry professional accurately assigns ICD-10 and AIS codes and enters data into the trauma registry, maintaining confidentiality at all times.
- Participates in all registry-required activities to maintain ACS Verification as a Level One Trauma Center.
- Performs thorough review of medical record for identification of relevant clinical diagnoses and procedures performed.
- Assigns appropriate ICD-CM diagnosis, and ICD-10 PCS codes.
- Assigns appropriate AIS codes and AIS regions.
- Assigns appropriate activations charges based on patient severity of injury and activation criteria.
- Understands and adheres to Official AIS Coding and AAAM coding policies as currently published.
- Understands and adheres to National Trauma Data Standard (NTDS) required definitions.
- Accurately abstracts pertinent data from the patient medical records, and applies ICD-10 and AIS coding accuracy at greater than or equal to 95% accuracy.
- Completes 100% of records within 60 days of patient discharge.
- Participates in re-abstraction of 5-10% of all patient records for accuracy and validation.
- Identifies, prepares, and distributes a list of trauma patients for all clinical services within the Trauma Program.
- Prepares bi-weekly summaries on all trauma-related mortalities for trauma review committee.
- Participates in data retrieval for statistics, performance improvement projects, and IRB approved research studies.
- Prepares and submits monthly trauma data submissions to the State of Utah Department of Health, and submits data quarterly to the American College of Surgeons Total Quality Improvement Program (ACS-TQIP).
- Participates in monthly ACS-TQIP educational quizzes, and conferences calls.
- Participates in quarterly State of UT Trauma User Group (UT-TUG) meetings, and periodic trainings.
- Completes a minimum of eight (8) hours of registry-specific continuing education per year.
Knowledge / Skills / Abilities
- Mastery level knowledge of ICD-10 and AIS coding conventions & use of coding nomenclature.
- Mastery level knowledge of medical terminology, anatomy & physiology and pathophysiology.
- Proficient in all service lines of varying complexity.
- Solid understanding of trauma related quality initiatives.
- Ability to communicate and collaborate effectively with clinical staff and other hospital personnel.
- Knowledge of healthcare IT systems, preferably EPIC, TraumaBase, Microsoft Office.
- Strict attention to detail.
- Current CCA, CCS, CPC, RHIT, or RHIA Certification.
- Demonstrated advanced medical terminology.
- Minimum of one year inpatient coding experience.
- Certified Abbreviated Injury Scale Specialist (CAISS) from AAAM within one year of hire.
- Bachelor's or Associate's Degree in a related field.
- Certified Specialist in Trauma Registries (CSTR
Working Conditions and Physical Demands
Employee must be able to meet the following requirements with or without an accommodation.
- This is a sedentary position in an office setting that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.
We are University of Utah Health. employment.utah.edu
Listening, Manual Dexterity, Sitting, Speaking, Standing