Registrar Trauma, Trauma Service

Registrar Trauma, Trauma Services

40 hours per week, day shift

JOB SUMMARY:  Responsible for the identification, abstraction, entry, validation, productivity, and quality of ICD9-10 CM-PCS and AIS coding of data for AHWFB Level 1 Trauma and Burn Center adult registry database as required by appropriate regulatory agencies to include American College of Surgeons, American Burn Association and North Carolina Office of Emergency Management.  The data shall be obtained from the patient electronic medical record including EMS and referring facilities.

EDUCATION/EXPERIENCE:

• High School diploma or equivalent, college degree preferred
• Trauma Registrar experience preferred
• Abbreviated Injury Scoring (AIS) course completion required within 1 year of hire
• Certified Specialist Trauma Registry course completion required within 1 year of hire
• ICD10 course completion required within 1 year of hire

LICENSURE, CERTIFICATION, and/or REGISTRATION:

• Certified Professional Coder (CPC) certification required, CSTR recommended, CAISS certification when standards are met

ESSENTIAL FUNCTIONS:

1. Identifies trauma/burn patients to enter into the registry database according to regulatory agencies,
2. Abstracts and enters data from the patient’s medical record including EMS and referring facility into the registry database ensuring confidentiality of patient information per hospital policy. 
3. Ensures timely and accurate Trauma and Burn registry data entry and coding according to regulatory agencies. Participates in all inter-rater reliability and data validation activities.  Maintains productivity standards per regulatory agencies and department guidelines.  Runs database reports to support productivity.
4. Maintains documentation of registry activity
5. Participates in departmental, local, state, national educational offerings and staff meetings as indicated.  Maintains 8 hours of trauma continuing education/year
6. Maintains current knowledge of registry requirements and coding ICD9-10, AIS, and TQIP through collaboration with peers, vendor, and regulatory agencies by attending conferences, webinars or conference calls. 
7. Assists in other aspects of the WFBMC Trauma Services Department as deemed appropriate by the Trauma Program Manager (assist with database reports to support PI, epidemiology, outcomes, and survey process).
8. Promotes a cooperative work environment by utilizing appropriate communication skills, interpersonal relationships, and team building. Maintains responsibility for keeping informed about changes in policy/procedure.

Atrium Health Wake Forest Baptist is a pre-eminent academic health system based in Winston-Salem, North Carolina. Atrium Health Wake Forest Baptist is part of Advocate Health, which is headquartered in Charlotte, North Carolina, and is the fifth-largest nonprofit health system in the United States, created from the combination of Atrium Health and Advocate Aurora Health. Atrium Health Wake Forest Baptist’s two main components are an integrated clinical system – anchored by Atrium Health Wake Forest Baptist Medical Center, an 885-bed tertiary-care hospital in Winston-Salem – that includes Brenner Children’s Hospital, five community hospitals, more than 300 primary and specialty care locations and more than 2,700 physicians; and Wake Forest School of Medicine, the academic core of Atrium Health Enterprise and a recognized leader in experiential medical education and groundbreaking research that includes Wake Forest Innovations, a commercialization enterprise focused on advancing health care through new medical technologies and biomedical discovery.

Wake Forest Baptist Health, Wake Forest University School of Medicine and Atrium Health have joined forces in a strategic combination that will enhance care, transform medical education and create economic opportunity for countless lives in North Carolina and beyond. As a part of that combination, the two health systems will be integrating technology and platforms, including our career sites.

This means that although you are applying on the Wake Forest Baptist Health Career Site, you receive communications from the Atrium Health Recruitment Team. Please know that this is an expected process, and thanks in advance for your flexibility.