Job Description

Position Summary:

The Trauma Registrar is responsible for assurance for validity of all trauma registry information, to include the accurate identification of appropriate patients, and all aspects of trauma coding.
Responsibilities:
Identifies trauma patients based on specific criteria, abstract complex clinical data, perform data entry, and calculate an

accurate severity score within the trauma registry.

Performs trauma related ICD-10 diagnostic coding and related procedure coding. Completes all aspects of Abbreviated Injury Scale coding. Analyzes and abstracts data with accuracy. Performs peer review audits for data validation. Maintains at least 95% validity on all critical data elements. Assures registry validity through frequent custom report review and registry utilities. Assures all data points of registry are properly completed and updated. Follows State guidelines to assure all essential elements are properly recorded. Maintains concurrent registry through daily abstraction on discharged clients and current admissions. Assures ongoing registry analysis for promotion of prevention activities, research, and injury/demographic reviews. Manages data according to the Orlando Health policies and guidelines. Assists with projects under the direction of the Manager, Clinical Specialty Data that support education, research, and

traumaprogram.

Assists with preparation for all trauma and burn site surveys. Collaborates with Department IS Consultant to ensure data

integrity and validation as clinical resources.

Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA, and other

federal, state, and local standards.

Maintains compliance with all Orlando Health policies and procedures.

Qualifications:

Education

Associate degree or higher; or completion of Trauma Registrar Course; or one year of direct trauma registry or ICD-10 coding

experience.

Knowledge of essential medical terminology related to trauma and emergency medical services. Proficient in MS Word, Excel, and Windows OS. Completion of AAAM's Abbreviated Injury Scale Course, a Trauma Registry course, and ICD-10 within one year of hire

Experience

Four (4) years in health-related field, with a strong emphasis on data integrity, abstraction, and analysis. Associate degree or higher, may

substitute for two (2) years of experience.