Role Description
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Analyze and abstract patient injury diagnoses and treatment information from multiple sources and accurately assign injury diagnoses and procedure codes in accordance with current AIS and ICD-10 guidelines.
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Appropriately apply the current National Trauma Data Standard (NTDS), Georgia DPH and facility data definitions and guidelines.
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Identify hospital events, complications, and comorbidities in accordance with National Trauma Data Standard (NTDS) definitions.
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Identification of facilityโs trauma population in accordance with NTDS, Georgia, and facility registry inclusion criteria.
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Consistently meet agreed upon goals for record completion while maintaining an accuracy rate greater than 95%.
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Ensure and maintain reliability and confidentiality of trauma patient data.
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Be familiar with the Registry chapter requirements from the current version of the American College of Surgeons, Optimal Resource for Care of the Injured Patient.
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As assigned, assists with preparation for Trauma Services and hospital surveys.
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As assigned, participates in quality and process improvement activities to ensure the accuracy of data collection.
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Attends hospital Registry and other meetings as assigned.
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Maintains compliance with departmental and TQIP/ACS sanctioned ongoing education and maintains records of personal education. Identifies training/learning needs and seeks out educational opportunities.
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Supports data validation projects and inter-rater reliability peer validations.
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Meets productivity goals and strives to meet stretch goals as assigned.
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Ability to comprehend and operate various computer programs.
Qualifications
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High school diploma or GED required.
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One year of experience working in a hospital or physician practice.
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Comprehensive knowledge of anatomy and medical terminology and procedures is required as demonstrated through work experience and/or education.
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Excellent communication skills and ability to accurately type 30 WPM.
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Experience with EHR (electronic medical record) use required.
Requirements
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AAAM AIS Coding course and ATS trauma registry course within one (1) year of hire.
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Certified Abbreviated Injury Scaling Specialist (CAISS) certification required within two (2) years of hire.
Preferred Education
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Associateโs degree in a health-related field preferred.
Preferred Licensure, Registration, and/or Certification
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RHIT, RHIA, CPC, CCS, CCA certification preferred.
Preferred Experience
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One year ICD-10-CM & ICD-10-PCS coding experience strongly preferred.
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Trauma/Injury registry experience preferred.
Preferred Knowledge, Skills & Abilities
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Epic EHR experience and proficiency in using Microsoft Suite, including Word, OneNote, Outlook, and Teams Video Conferencing software preferred.
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ESO/V5 trauma database software experience preferred.
Benefits
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Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training.
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Premium pay such as shift, on call, and more based on a teammate's job.
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Incentive pay for select positions.
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Opportunity for annual increases based on performance.
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Paid Time Off programs.
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Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability.
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Flexible Spending Accounts for eligible health care and dependent care expenses.
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Family benefits such as adoption assistance and paid parental leave.
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Defined contribution retirement plans with employer match and other financial wellness programs.
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Educational Assistance Program.