St. Luke's
hospitality
TraumaRegistrar
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Trauma Registrar at St. Luke's. Skills: data abstraction, validation of all data entered into the Trauma Registry, validation and timely submission of all pertinent data to the Pennsylvania Trauma Systems Foundation. Ensures that the trauma registry includes information on all patients admitted to or seen by the Trauma Service and all Non-Trauma Service patients meeting the trauma registry inclusion criteria.. Abstracts all data elements from the medical record required for participation in the ”
What You'll Achieve.
Ensures accuracy of data abstracted as evidenced by inter-rater reliability scores of greater than 90%.; Meets or exceed performance standards; Meet department productivity standards; Not have any level of Corrective Action issued or pending.
Industry & Context.
take initiative to problem solve when faced with challenges
PA/NJ Residents ONLY, Sit up to 8 hours per day, 1-2 hours per day, 1-2 hours at a time., Stand for up to 2 hours per day., Walk 1 hour per day., Consistently lift, carry, and/or push objects up to 20 pounds., Must be able to perceive attributes of an object through touch., Must be able to hear as it relates to normal conversation, and high and low frequencies., Must be able to see as it relates to general, near, far, color and peripheral vision., Provide a home office (desk, chair, etc. ) in a confined and safe work area in the home to achieve confidentiality of patient information and security of equipment to preventdamage, Provide required electrical outlets and pay for required electrical service and other household services such as heating, Establish and keep paid up and in effect a homeowner’s insurance policy at the coder/abstractor’s expense to cover against loss, destruction, theft and/or damage to the Hospital’s equipment., Report any injury occurring during at-home work hours immediately to the Director, Network Coding Services., St. Luke's Hospital shall have reasonable access to the coder/abstractor’s home to conduct accident investigation or job-site evaluation., Remote access to meetings will be made available if necessary., Any mandatory meeting will be paid as worked hours excluding travel time to and from the St. Luke's Hospital Coding department.
What They're Looking For.
Must Have
Previous two to three years experience with use of medical records required, Have available remote network connectivity in their area of residence
Nice to Have
Associate Degree in Health Information or related field preferred, RHIT, RHIA or CPC preferred, Minimum two years experience in database management is preferred
What You'll Do.
Ensures that the trauma registry includes information on all patients admitted to or seen by the Trauma Service and all Non-Trauma Service patients meeting the trauma registry inclusion criteria.
Abstracts all data elements from the medical record required for participation in the Pennsylvania Trauma Outcomes Study (PTOS) and the National Trauma Data Bank (NTDB) as well as customized data elements needed to support trauma program functions for all patients accessioned into the trauma registry.
Ensures accuracy of data abstracted as evidenced by inter-rater reliability scores of greater than 90%.
Maintains average daily productivity as follows: Inpatient 3-4 charts per hour
Outpatient 8-10 charts per hour.
Responsible for maintaining up-to-date knowledge of PTSF Standards (registry related)
collector data definitions
and ICD-9 and other coding definitions.
Works in conjunction with Registry Coordinator(s) to submits data within the mandated six-week time frame for all patients meeting inclusion criteria for the Pennsylvania Trauma Outcome Study and within the quarterly time frame for all patients meeting inclusion criteria for the National Trauma Data Bank (NTDB) and Trauma (TQIP).
Completes initial data abstraction within forty-eight hours of patient admission.
Identifies and reports problematic areas related to trauma registry functions and medical record documentation to the Registry Coordinator(s) or Trauma Program Manager in a timely manner.
Participates in trauma education activities to include attendance at trauma seminars and conferences
and training of personnel in the use of the trauma registry.
Complies with established chain of command for work-related problems.
Attendance at meetings as requested.
How You'll Work.
Team & Collaboration
Works in conjunction with Registry Coordinator(s); Reports problematic areas related to trauma registry functions and medical record documentation to the Registry Coordinator(s) or Trauma Program Manager in a timely manner.; Participates in trauma education activities to include attendance at trauma seminars and conferences, and training of personnel in the use of the trauma registry.; Complies with established chain of command for work-related problems.
Full Job Description
### _St. Luke 's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission_ _of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient 's ability to pay for health care._ The Trauma Registrar is responsible for data abstraction and validation of all data entered into the Trauma Registry at St. Luke's Adult Level I Trauma Center. The Trauma Registrar is responsible for the validation and timely submission of all pertinent data to the Pennsylvania Trauma Systems Foundation. **JOB DUTIES AND RESPONSIBILITIES:** * Ensures that the trauma registry includes information on all patients admitted to or seen by the Trauma Service and all Non-Trauma Service patients meeting the trauma registry inclusion criteria. * Abstracts all data elements from the medical record required for participation in the Pennsylvania Trauma Outcomes Study (PTOS) and the National Trauma Data Bank (NTDB) as well as customized data elements needed to support trauma program functions for all patients accessioned into the trauma registry. * Ensures accuracy of data abstracted as evidenced by inter-rater reliability scores of greater than 90%. * Maintains average daily productivity as follows: Inpatient 3-4 charts per hour, Outpatient 8-10 charts per hour. * Responsible for maintaining up-to-date knowledge of PTSF Standards (registry related), PTOS definitions, collector data definitions, and ICD-9 and other coding definitions. * Meet or exceed the performance standards below: Demonstrate proficiency in utilizing all work-related applications including Horizon Patient Folder (HPF), Collector, Citrix, Microsoft Office including Word, Outlook, and Excel. * Meet department produ
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