Job ID: 64324
Area of Interest: Clerical
Location: Baltimore, MD US
Hours of Work: Day; Evening; Weekend
Job Facility: University of Maryland Medical Center
Employment Type: Not Indicated
What You Will Do:
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
1.Completes all necessary training for the Trauma Registry as directed by the Trauma Registry Supervisor.
2.Ensures comprehensive knowledge of medical terminology and procedures.
3.Participates as an integral team member in the preparation for review of the Primary Adult Resource Center.
4.Assigns all injuries utilizing the ICD 10 coding system. Completes and verifies for accuracy all data collected.
5.Assists with the identification of appropriate cases for inclusion in the trauma registry. Ensures that inclusion criteria for entry in the Trauma Registry as set by the Maryland Institute for Emergency Medical Service Systems (MIEMSS) is followed.
6.Ensures compliance with National Trauma Data Bank (NTDB), TQIP, and other State regulatory agencies.
7.Performs daily review of medical records for all current in-house patients as well as medical record review of newly discharged patients. Abstracts all the necessary data variables identified for State Trauma Registry ensuring a complete record.
8.Reviews radiology reports, discharge summaries and operative notes from EMR to obtain additional detailed information upon patients' discharge.
9.Reviews EMEDS reports to obtain additional PTA information.
10. Performs data entry of data points identified after initial chart abstraction.
11. Appropriately codes injuries, complications, and procedures with 100% accuracy.
12. Enters designated data in the trauma registry with 100% accuracy.
13. Performs concurrent and retrospective trauma chart audits for accuracy, in collaboration with the Registry Supervisor.
14. Coordinates with the Shock Trauma Registry Data Specialist to correct and obtain the information on the hospital record.
15. Reconciles data as the information becomes available.
16. Communicate with the Registry Supervisor concerning any questions, problems, issues or concerns related to the trauma registry or trauma program.
17. Assists with trauma program activities as requested including but not limited to focused chart audits and data validation, trauma outcomes management, trauma education, and trauma data analysis.
18. Collaborates with Information Technology computer hardware and software maintenance and backup to assure proper registry function.
19. Works collaboratively with the Shock Trauma Quality Program staff to ensure accuracy of data.
What You Need to Be Successful:
1.High School diploma or general education degree required; Associate degree in health- related field preferred.
2.Knowledge of anatomy, physiology and medical terminology required.
3.AIS/ISS, ICD-10 knowledge preferred.
4.Previous Trauma Registry experience one (1) year preferred.
We are an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
The University Of Maryland Medical System