2 days ago
•Responsible for the identification of trauma patients meeting registry inclusion criteria. •Abstracting clinical and outcomes data from the medical record, coding diagnoses, procedures, and injuries utilizing ICD-10 coding, AIS coding, E-Codes. •Entering data into the Trauma Registry per National Standards and State Standards/State Trauma Regulations. •Performs data analysis on Trauma Registry data for monitoring data quality. •Prepares reports pertinent to Trauma performance improvement and reports issues and trends identified to PI Coordinator and TPM. •Independently works with Trauma Registry software vendor and PHR information technology on NTDB and State data submissions.
•Education - Associate Degree in Health Information Management or related field of study. •Experience - Two (2) years in medical record coding or relevant clinical experience. •In Lieu Of In Lieu of the education and experience requirements noted above, the following combination of education, training and/or experience will be considered an equivalent substitution: An AHIMA, AAPC coding certification, CSTR and/or CAISS, or other healthcare related licensure. •Required Certifications, Registrations, Licenses RHIT, RHIA, CCS, or CSTR (Certified Specialist in Trauma Registry) preferred or eligible. •Requires AAAM course certification (AIS coding) and Trauma Registry Course within one (1) year. •Knowledge, Skills and Abilities Extensive knowledge of ICD-10 coding, AIS coding, E-codes, anatomy, physiology, medical terminology and disease processes. •Computer literate and be proficient in keyboarding, spreadsheets, word processing, and databases. •Ability to analyze and report registry data to support the activities of the Trauma Program. •Ability to work independently and have a strong aptitude for detail.
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