Trauma Registry Secretary

Overview

JOB SUMMARY: Responsible for the identification of all Trauma, Burn and Emergency General Surgery (EGS) patients. Abstracts information from the medical record necessary for the respective registry requirements and codes the diagnoses and procedures in CPT/ICD 9-10 codes. Develops and maintains all statistical databases, generates registry report and maintains Trauma/Burn/EGS registry summaries. 

EDUCATION/EXPERIENCE: High school diploma required. Medical Terminology course and Anatomy/Physiology Course with two years of ICD-9/10 coding experience preferred. Certification in Trauma Registry preferred. 

LICENSURE, CERTIFICATION, and/or REGISTRATION: N/A ESSENTIAL FUNCTIONS: 1. Maintains a comprehensive listing of admitted trauma/burn/EGS patients through careful review of Emergency Department admission logs, Trauma Patient Report, and patient census. Ensures confidentiality of registry data. 2. Ensures accuracy of Trauma/Burn/EGS Registry data. Participates in all inter-rater reliability and data validation activities. 3. Maintains documentation of all registry activity. 4. Provides data and reports to support trauma/burn/EGS research, education and associated activities. 5. Maintains current knowledge of registry requirements through collaboration with peers and attendance at all required continuing education. 6. Assists in other aspects of the WFUBMC Trauma Services Department as deemed appropriate by the Trauma Program Manager. 7. Promotes a cooperative work environment by utilizing appropriate communication skills, interpersonal relationships and team building. 8. Maintains personal responsibility for keeping informed about changes in policy/procedures. 9. Participates in departmental educational offerings and staff meetings. 

SKILLS/QUALIFICATIONS: Excellent customer services skills Knowledge of computers Knowledge of databases Ability to abstract clinical data from EMR, other sources Ability to work effectively as a team member 

WORK ENVIRONMENT: Subject to varying and unpredictable situations Occasional pressure due to multiple calls and inquiries Subject to many interruptions Occasionally subject to irregular hours Travel required 

PHYSICAL REQUIREMENTS: y X Standing X Walking X Sitting X Bending X Reaching with arms X Finger and hand dexterity X Talking X Hearing X Seeing Lifting, carrying, pushing and or pulling: X 20 lbs. maximum X 50 lbs. maximum X 100 lbs. maximum