Job Description

Evaluate patients records and assign appropriate codes. Abstract pertinent data from patients\' clinical records. Review records for reimbursement purposes and to ensure quality control.
Responsibilities \xe2\x80\xa2 Read and interpret medical record entries to identify all diagnoses and surgical procedures. \xe2\x80\xa2 Assign appropriate ICD-10-CM and AAAM codes in compliance with recognized coding principles and department policies. \xe2\x80\xa2 Identify patients who meet criteria for inclusion in the trauma registry. \xe2\x80\xa2 Abstracts data from medical record and other sources. Enters data in Trauma Registry concurrently and retrospectively. \xe2\x80\xa2 Perform AIS (Abbreviated Injury Severity) coding and Injury Severity Scoring. \xe2\x80\xa2 Verify and correct any data discrepancies by initiating communication with physicians and other hospital personnel. \xe2\x80\xa2 Responsible for the accurate and timely entry of all abstracted and coded date into the computer system. \xe2\x80\xa2 Provide data and statistical information for performance improvement, trauma education and research, trauma service outreach, and routine trauma service reports. \xe2\x80\xa2 Participate in the Trauma Service\'s quality and performance improvement initiatives. \xe2\x80\xa2 Enter all abstracted and coded data into the computer system in an accurate and timely manner. \xe2\x80\xa2 Promote and enhance positive customer service and a positive environment. \xe2\x80\xa2 Maintains a 95% or greater abstracting accuracy rate.
Knowledge, Skills & Abilities Patient Group Knowledge (Only applies to positions with direct patient contact) The employee must possess/obtain (by the end of the orientation period) and demonstrate the knowledge and skills necessary to provide developmentally appropriate assessment, treatment or care as defined by the department\xe2\x80\x99s identified patient ages. Specifically the employee must be able to demonstrate competency in: 1) ability to obtain and interpret information in terms of patient needs; 2) knowledge of growth and development; and 3) understanding of the range of treatment needed by the patients. Competency Statement Must demonstrate competency through an initial orientation and ongoing competency validation to independently perform tasks and additional duties as specified in the job description and the unit/department specific competency checklist. Common Duties and Responsibilities (Essential duties common to all positions) 1. Maintain and document all applicable required education. 2. Demonstrate positive customer service and co-worker relations. 3. Comply with the company\'s attendance policy. 4. Participate in the continuous, quality improvement activities of the department and institution. 5. Perform work in a cost effective manner. 6. Perform work in accordance with all departmental pay practices and scheduling policies, including but not limited to, overtime, various shift work, and on-call situations. 7. Perform work in alignment with the overall mission and strategic plan of the organization. 8. Follow organizational and departmental policies and procedures, as applicable. 9. Perform related duties as assigned.
Education
\xe2\x80\xa2 High School Diploma or GED (Required) Experience: None

• Formalized Training (Required) Education: High School Diploma/GED, Formalized Training in Medterm Comments: Must score 80% on Medical Terminology & ICD-10-CM guidelines & rules exam. Must achieve a rating of exceeds standard at both the midyear and the annual appraisal to advance to a Trauma Registrar Coder II position. Must successfully complete The Association for the Advancement of Automotive Medicine (AAAM) within 1 yr of employment.
  

Credentials \xe2\x80\xa2 Association for Advancement of Auomative Medicine (Required) Within 1 year of hireWithin 1 year of hire
Work Schedule: Days Status: Full Time Regular Location: General Hospital Location of Job: US:WV:Charleston Talent Acquisition Specialist: Tamara B. Young tammy.young@camc.org