Job Description

Responsibilities

• Performs basic data collection of demographics and coding of clinical and follow-up data from all sources into clinical program registry database.
• Interacts with physicians, nurses, and other members of the assigned clinical program team and patients to perform registry functions.
• Determines appropriateness of patient entry into the Clinical Program Registry based on the applicable clinical program guidelines and data standards/dictionary.
• Provides high quality data entry by abstraction of required data elements from the patient chart in real time and retrospectively.
• Participates in quality assurance, data validation (5-10% case files), and improvement activities to ensure accuracy of data collection and timely submission of data according to required standards within and/or across clinical programs as applicable to remain compliant with validation requirements.
• Understands mapping concepts and validates mapping of registry software for reporting requirements.
• Resolves routine coding issues/problems and appropriately seeks assistance from assigned Clinical Program leadership and/or Registry vendor when appropriate.
• Recognizes patterns of mechanism of injury during case abstraction in order to contribute to opportunities for injury prevention and community safety.
• Reports data in formats such as Excel and/or PowerPoint for both internal and external consumption (includes statistical, clinical, and research data).
• Assists with performance improvement projects under the direction of the Operations/Program Manager/Director as indicated.
• Maintains confidentiality of the registry and follows guidelines re: Data Request Management. 

Accountabilities :

• Keeps registry current as per the Standards Set by the Regulatory Bodies, which is currently 80% complete within 60 days of patient discharge.
• Ensures data validation (5-10% case files) with a validity rate of not <90%.
• Completes required reporting in required timeframes.
• Responsible for the Trauma and/or Burn Program Data Registry

Qualifications

Required: Bachelor degree in health related field

Specialist Certifications:

Required:
Within one year of hire the following are required, if not already certified:
Recognized Registrar Certification or program
Injury Scaling Certification
ICD Coding Certification (current and maintain currency within 5 years)
 

Desired:
Certified Abbreviated Injury Scale Specialist (CAISS)
OR
Certified Specialist in Trauma Registries (CSTR)

Required Experience:

Work experience of at least two years and knowledge of medical terminology is essential
Proficiency in utilizing computer applications (Word, Excel, etc ) and data management
 

Desired :

Work experience of at least two years with strong emphasis on data integrity and analysis
Trauma/burn care experience

Previous Registry/Report Writing experience