- High school graduate or equivalent
- College course work in business, computers, data-entry, or related fields is desirable
- 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 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
- AIS 2005
- 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
- Abstracts data and data input supporting registry concurrency
- Abstracts data from multiple sources, including the patient medical record, admission logs and nursing records
- Abstracts from various patient records, required information including treatment during hospitalization, complications and hospital discharge status
- Inputs into database information on identified hospital course variables and hospital discharge variables
- Reviews data input to assure accuracy and completeness of Registry records
- Performs data validation for accuracy and completeness of registry records.
- Reviews medical record, interprets information, and enters complete and accurate data into on-line computer system
- Submits requests to Medical Records Dept. for chart retrieval
- Assists in the management of daily operations of the trauma registry
- Assists with statistical reports in support of Trauma Program Operations and the Trauma Performance Improvement Program
- In collaboration with the Trauma Specialist, prepares required data for EMS/Trauma Committees for Marin County, State and Regional Trauma Committees
- Assists Trauma Specialist in preparing reports to support ongoing program planning
- Provides data input and reports to support and direct the Process Improvement Programs
- Monitors Compliance with Trauma Service standards of Patient Care
- Audits Trauma Registry in compliance with American College of Surgeon Standards
- Reports performance improvement issues to Trauma Program Manager/Trauma Director
- Follows through on research of performance improvement issues identified
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Trauma Registry Specialist, Trauma Registration, Full-Time, Days Remote - San Francisco, United States - MarinHealth Medical Center
Description
ABOUT MARIN HEALTH:Come and be a part of our healing team at the award-winning Marin Health 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.
WHAT WE OFFER
Marin Health 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 Marin Health.
External hires must pass a background check and 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
Certified Trauma Registrar preferred
DUTIES AND RESPONSIBILITIES:
ESSENTIAL (not modifiable)
Other duties as assigned
At MarinHealth, our top priority is the well-being of our employees, patients, and community. As such, we require all employees to receive necessary immunizations, including the measles, mumps, varicella, and seasonal flu vaccinations as a condition of employment and annually thereafter. Additionally, the continued recommendation to obtain a COVID booster vaccination status. We understand that some individuals may require medical or religious exemptions from these requirements, but we remain committed to prioritizing the health and safety of all. Thank you for helping us in our efforts to maintain a healthy and safe environment for all.
The compensation for this role listed on this posting is in compliance with applicable law. The selected candidate's compensation will be determined based on the individual's skills, experience, internal/market equity factors, and qualifications. This posted minimum and maximum range represents the minimum and maximum of what we reasonably expect to compensate for the position. Furthermore, all compensation decisions are ultimately determined in accordance with our compensation philosophy. Compensation for positions covered by collective bargaining agreements are governed by the agreements in the aforementioned document.
