- Compiles pertinent data for the trauma registry. Identifies appropriate patients, including readmissions resulting from traumatic injury, for entry into the trauma registry.
- Abstracts core data, involving all phases of trauma care, from the electronic medical record according to established guidelines. Identifies all injuries assigns ICD-10 CM and Abbreviated Injury Scale, coding to the highest level of specificity. Utilizing the Trauma Registry Coordinator, Trauma Coordinator, Trauma PI Coordinator as consultants for interpretation of material when needed.
- Interacts with all areas of the institution and other areas, e.g. EMS companies, Coroner's office, to ensure accurate data collection.
- Accurately enters data into the trauma registry via computer, under the guidance of the Trauma Registry Coordinator
- Assists with monitoring of Performance Improvement indicators
- Organizes and generates monthly reports for review Trauma Registry Coordinator
- Produces and distributes accurate daily trauma census
- Assist the Trauma Registry Coordinator, on a need be basis
- Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control.
- Comprehensive, affordable medical, dental and vision plans
- Prescription drug coverage
- Flexible spending accounts
- Life insurance w/AD&D
- Employer contributions to retirement savings plan when eligible
- Paid time off
- Educational Assistance
- And much more
- Benefits offerings vary according to employment status
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Trauma Coder- St. Elizabeth Youngstown Hospital - Mercy Health
Description
Thank you for considering a career at Mercy HealthSummary of Primary Function
The Trauma Coder, working under the direct supervision of the Trauma Registry Coordinator is responsible for the overall collection and retention of pertinent data concerning trauma patients.
He/she ensures that complete and accurate data is collected for trauma patients including validation of patient data for the American College of Surgeons, National Trauma Data Bank, and Trauma Service Program.
He/she supports the delivery of quality health care service and appropriate Injury Severity Scoring (ISS) and Probability of Survival (PS) by assigning codes to diagnoses, co-morbidities, operative and non-invasive procedures according to Tenth Revision of International Classification of Disease ICD-10 CM and Abbreviated Injury Scale Coding (AIS) in order to define severity by the post-dot score and mortality.
Generating monthly reports; maintaining daily trauma census, collecting data from the Coroner's office data according to HB138, assisting with the American College of Surgeon Verification review.
He/she assists the Trauma Registry Coordinator with focus studies and research projects promoting favorable guest relations and expressing the values of the hospital philosophy in daily work activities.
Essential Job Functions
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job.
Patient Population
☐ Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients they serve.
☒ Demonstrates knowledge of the growth and development across the life span and possesses the ability to assess data reflective of the patient's status.
☒ Interprets age-appropriate information/data needed to identify patient specific needs and to provide care as described in departmental policies and procedures.
☐ Neonates (0-4 weeks)
☐ Infant (1-12 months)
☒ Pediatrics (1-12 years)
☒ Adolescents years)
☒ Adults years)
☒ Geriatrics (65 years and older)
☐ Not applicable to this position.
Employment Qualifications
Required Minimum Education:
High school diploma or equivalent.
Preferred Education:
Vocational/ Technical Degree
Required Medical Terminology and anatomy.
Licensing/ Certification - If registration, certification or licensure is required, include the name of the accrediting or licensing body.
Licensure/Certification Required:
Trauma Registry Course within two years with certification
Licensure/Certification Preferred:
Completion of Abbreviated Injury Scale within two years with certificate Completion of ICD-10 or ICD-10 refresher course every 5 years with certificate.
Minimum Years and Type of Experience: 2 years of job-related experience (preferred)
Other Knowledge, Skills and Abilities Required:
Proficient in MS Office and Zoom Other Knowledge, Skills and Abilities: Experience in Epic/Electronic Medical Records, Medical Terminology and anatomy (required)
☐ Combination of post-secondary education and experience in lieu of a degree.
Working Conditions
☐ This section addresses the physical environment in which the employee will perform the work.
☐ Periods of high stress and fluctuating workloads may occur.
☐ Long-distance or air travel as needed- not to exceed 10% travel.
☐ General office environment.
☐ May be exposed to high noise levels and bright lights.
☐ May be exposed to physical altercations and verbal abuse.
☐ May be exposed to limited hazardous substances or body fluids.
☐ May be required to use physical restraints.
☐ May be exposed to human blood and other potentially infectious materials.
☐ May be exposed to adverse weather conditions; cold, hot, dust, wind, etc.
☐ May have periods of constant interruptions.
☐ Required to car travel to off-site locations, occasionally in adverse weather conditions.
☒ Prolonged periods of working alone.
☒ Other:
Primarily remote, monthly assign to work on-site
Many of our opportunities reward* your hard work with:
Scheduled Weekly Hours:
40
Work Shift:
Days (United States of America)
Department:
Trauma Services - St. Elizabeth
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability.