[Hiring] Trauma Registrar @Cleveland Clinic

Role Description

Join the Cleveland Clinic team where you will work alongside passionate caregivers and provide patient-first healthcare. Here, you will receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world.

Under the direction and supervision of the Trauma Medical Director and Trauma Program Manager, the Trauma Registrar abstracts and codes medical record data on trauma patients according to guidelines established by:

• The American College of Surgeons
• Trauma Quality Improvement Program (TQIP)
• The State of Ohio Trauma Registry
• The regional trauma system

The Registrar performs all data collection, abstraction and entry of all trauma patients into the trauma registry and assigns ICD-9/ICD-10, ISS, AIS, E-Codes, and Trauma Scores. This role requires someone who can multitask in a fast-paced department.

A caregiver in this position works remotely Monday - Friday 8:00 a.m. – 4:30 p.m. The preference is that candidates reside in the states of Ohio, Florida or Nevada.

A caregiver who excels in this role will:

• Complete identification of patient records for entry into the trauma registry.
• Collect, abstract and accurately enter trauma patient information into the trauma registry in a timely manner.
• Complete final entry of patient data no later than 60 days post discharge.
• Participate in data validation and maintain department standard.
• Comply with all internal/external reporting requests and requirements.
• Assist in the preparation for American College of Surgeons trauma center verification.
• Ensure data is abstracted and submitted to meet the American College of Surgeons and State of Ohio data submission deadlines.
• Close charts according to the American College of Surgeons guidelines.
• Complete 8 hours of trauma registry related continuing education per year as recommended by the American College of Surgeons.
• Obtain required certifications/education as directed by the American College of Surgeons (AAAM AIS, trauma registry and ICD 10 or updated versions).

Qualifications

• Knowledge of and skills using Epic and Excel.
• Complete 8 hours of trauma registry related continuing education per year as recommended by the American College of Surgeons.
• Obtain required certifications/education within one year of hire as directed by the American College of Surgeons (AAAM AIS, trauma registry and ICD 10 or updated versions).

Requirements

• Associate’s Degree in healthcare OR two years of experience including medical terminology.
• Certified Specialist in Trauma Registry (CSTR), Registered Information Technician (RHIT) or Certified Coding Specialist (CCS).
• Previous data registry experience including knowledge in case abstraction, data entry, ICD-9 or ICD-10 coding, and AIS/ISS scoring.
• RHIT or coding background.
• Previous experience as a Trauma Registrar.
• Background in anatomy/physiology, and ASC site review.

Physical Requirements

• Ability to perform work in a stationary position for extended periods.
• Ability to operate a computer and other office equipment.
• Ability to communicate and exchange accurate information.

Personal Protective Equipment

Follows standard precautions using personal protective equipment as required.