Trauma Registry Specialist (Trauma Registrar), Trauma Registration, Full Time, Days, Remote Opportunity

ABOUT MARINHEALTH a UCSF Affiliate

Come and be a part of our healing team at the award-winning MarinHealth! Ranked in the top 3% of general hospitals in the country, we have made great strides since returning to our roots as an independent hospital. As Marin County’s only acute hospital and a vital resource for a wide range of essential health care services, it is our mission—and our passion—to excel in every medical specialty. We attract the finest physicians and employees who appreciate having the best of both worlds: the resources and medical sophistication of an academic medical center combined with the personalized, caring touch of an independent hospital.  We have an exceptionally collaborative team that adheres to the highest service excellence standards to ensure that we deliver world-class, personalized care to patients. Our Joint-Commission accredited hospital has won numerous awards and certifications in delivering best-in-class health care in the San Francisco Bay Area. 

***Opportunity to work remotely

***4x10 hour shifts

WHAT WE OFFER

MarinHealth offers a generous suite of employee benefits, which includes a comprehensive and rich health benefits program (medical, dental, vision and prescription plans). Our robust Wellness @ Work program (e.g. onsite health & fitness classes, discounts, etc) also promotes a healthier lifestyle for employees and to support you on your Healthy Healer journey. Other benefits include, but are not limited to, a 403(b) contribution plan and company-funded retirement plan, life insurance, vacation, holiday and sick leave, which you will start accruing immediately. Our benefits are highly competitive and considered to be one of the best in the Bay Area! Find your healing place at MarinHealth.

External hires are subject to a background check and pre-employment medical screen.  Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with federal, state and local laws.  All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classifications protected by federal, state & local laws.

JOB SUMMARY:

The Trauma Registry Specialist is responsible for maintaining and completing current and accurate Trauma Registry (inpatient, outpatient trauma patient) databases, which contain patient-care information from the following phases of care: pre-hospital, emergency room, hospital course, and final outcome.  Completed work and decisions made are not reviewed when performed within established departmental guidelines.  Work is assigned according to patient census data.  Work and decisions are subject to review when guidelines require extension and/or interpretation and when proposed solutions affect the work within the Department.  Guidelines include policies, procedures, and precedents of the Department, and MarinHealth Medical Center.

JOB SPECIFICATIONS:

EDUCATION

• High school graduate or equivalent
• College course work in business, computers, data-entry, or related fields is desirable

EXPERIENCE

• 1-2 years’ experience in abstracting data from medical records, preferably ED/Trauma related
• Experience in data collection using ICD-10 clinical manager codes preferred

KNOWLEDGE

• Knowledge of Microsoft Word, Excel, Access, and ability to set up data analysis
• Knowledge of medical/technical/diagnostic/procedural terminology required
• Knowledge of detailed computer data-entry, collection, and retrieval operations for spread sheets to include graphics in Excel and Trauma Database programs (Trauma One)
• Knowledge of practices, pre-hospital care, emergency and discharge information and characteristics of trauma patients
• Recognition of various diagnostic reports and chart orders
• Confidentiality and security concepts per hospital policies and procedures

SPECIAL SKILLS/EQUIPMENT

• Demonstrated ability to understand medical terminology and the ability to identify and abstract medical data from paper and electronic medical records
• Demonstrated ability to work accurately work accurately under department timelines, exercising good judgement with minimal supervision
• Strong typing and computer skills (data entry/retrieval techniques)
• Demonstrated computer and software troubleshooting skills, including spreadsheets and word processing
• Ability to read and interpret written and transcribed documents in the medical record, and ability to enter complete data into on-line computer system
• Excellent written and verbal communication/interpersonal skills and the ability to deal with individuals of varying comprehension levels
• Must possess tact and diplomacy skills to obtain information from a variety of hospital and public sources
• Demonstrated ability to analyze and interpret data

LICENSE/REGISTRATION/CERTIFICATION:

• AAAM AIS Course Certificate
• Certificate from trauma registry course
• ICD-10 course certificate dated within the past five years.

PRIMARY CUSTOMER SERVED (Age Specific Criteria):

This position is not a patient care position, and as such, this section does not apply

PATIENT PRIVACY (HIPAA Compliance):

Employees in this position have access to protected health information.  The protected health information a person in this position can access includes demographics, date of service, insurance/billing, medical record summary information, and all other information that may be contained in patient records.  This position requires patient health information to perform the functions outlined as part of this position description.

DUTIES AND RESPONSIBILITIES:

ESSENTIAL (not modifiable)

1. Abstracts data and data input supporting registry concurrency
   1. Abstracts data from multiple sources, including the patient medical record, admission logs and nursing records
   2. Abstracts from various patient records, required information including treatment during hospitalization, complications and hospital discharge status
   3. Inputs into database information on identified hospital course variables and hospital discharge variables
   4. Reviews data input to assure accuracy and completeness of Registry records
   5. Performs data validation for accuracy and completeness of registry records.
   6. Reviews medical record, interprets information, and enters complete and accurate data into on-line computer system
   7. Submits requests to Medical Records Dept. for chart retrieval
   8. Assists in the management of daily operations of the trauma registry
2. Assists with statistical reports in support of Trauma Program Operations and the Trauma Performance Improvement Program
   1. In collaboration with the Trauma Specialist, prepares required data for EMS/Trauma Committees for Marin County, State and Regional Trauma Committees
   2. Assists Trauma Specialist in preparing reports to support ongoing program planning
   3. Provides data input and reports to support and direct the Process Improvement Programs
3. Monitors Compliance with Trauma Service standards of Patient Care
   1. Audits Trauma Registry in compliance with American College of Surgeon Standards
   2. Reports performance improvement issues to Trauma Program Manager/Trauma Director
   3. Follows through on research of performance improvement issues identified

SECONDARY (modifiable)

Other duties as assigned

MarinHealth remains committed to the health and safety of our employees, patients, and the entire community. As such, MarinHealth requires employees to receive all required immunizations, including, MMR, flu (seasonal availability), and COVID-19 vaccine booster, as a condition of employment and annually thereafter, as required.  Any exemptions from these requirements may be granted for limited and specific situations.

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