SHIFT: No Weekends
Trauma Registrar / Coding Specialist / HCC Coder / HIM Specialist
Medical City Plano
Since opening our doors in 1975, Medical City Plano has provided Plano and Collin County with superior healthcare. We've built our reputation on the exceptional compassion we offer all our patients, a legacy preserved from our simple beginnings as a small community hospital. Now, as a world-class medical facility offering the latest in technologies and a comprehensive range of healthcare services, Medical City Plano continues its growth to maintain its position as a leader in healthcare across the region.
In collaboration with the Director of Trauma Services, the Trauma Registrar will assist with the coordination and data tracking of the trauma patient’s care throughout the hospital and support the stated mission, vision and values of The Medical Center of Plano and the philosophy of the Department of Nursing.
Identifies all patient cases that meet criteria for inclusion in the trauma registry database.
Reviews medical records in detail to obtain required elements needed for trauma registry reporting.
Consults with physicians or other clinical staff as needed for the assistance with acquiring trauma case reporting information.
Maintains and updates trauma registry software as needed
Reports and/or transmits hospital data in a timely and complete manner as required by Texas Department of Health and Human Services (State Registry) and the American College of Surgeons (National Trauma Data Bank).
Retrieves and analyzes registry data and disseminates trauma information and reports as requested.
Ensure system is in place to monitor validity of data abstraction and entry
In collaboration with Director of Trauma Services, Trauma Coordinators, and Trauma Medical Director sets standards for data entry, implements necessary procedures, and provide documentation for all registry related functions.
Work closely with Trauma Services Director, Trauma Medical Director, and Trauma Coordinators, hospital staff members, and physicians to maintain trauma designation status.
Actively participates in Trauma Performance Improvement Program including data analysis, medical record extrapolation, and data entry for the trauma registry.
Actively participates in education activities to include trauma registry related education programs.
Participates in the development of trauma care systems at the community, state, and/or national level as needed.
Actively participates in providing outreach education and or data for injury prevention purposes.
- College Degree Preferred; RHIT, RHIA or CSTR required
- Preferred Certified Specialist in Trauma Registries (CSTR) and/or Certified Abbreviated Injury Scale Specialist (CAISS)
- 3 years trauma registry experience preferred
- Experience with ICD-10 Coding, medical terminology, and physiology/disease process education required