Join Cleveland Clinic Fairview Hospital and experience world-class healthcare at its best. Fairview Hospital provides state-of-the-art healthcare to all its patients. On our team, you will provide stellar patient care to patients assigned to your unit. Cleveland Clinic is recognized as one of the top hospitals in the nation. Cleveland Clinic Fairview Hospital is a proud Magnet Hospital awarded by the American Nurses Credentialing Center. This designation is the highest honor an organization can receive for professional nursing practice.
Under the direction and supervision of the Trauma Medical Director and Trauma Program Manager, the Trauma Registrar abstracts and codes medical record data on trauma patients according to guidelines established by the American College of Surgeons, Trauma Quality Improvement Program (TQIP), the State of Ohio Trauma Registry, and the regional trauma system. The registrar performs all data collection, abstraction and entry of all trauma patients into the trauma registry and assigns ICD-9/ICD-10, ISS, AIS, E-Codes, and Trauma Scores.
A caregiver in this position works days from 8:00am – 4:30pm, no weekends, and no holidays.
A caregiver who excels in this role will:
Complete identification of patient records for entry into the trauma registry.
Collect, abstract, and accurately enter trauma patient information into the trauma registry in a timely manner.
Complete final entry of patient data no later than 60 days post discharge.
Participate in data validation and maintain department standard.
Comply with all internal/external reporting requests and requirements.
Assist in the preparation for American College of Surgeons trauma center verification.
Ensure data is abstracted and submitted to meet the American College of Surgeons and State of Ohio data submission deadlines.
Complete 8 hours of trauma registry related continuing education per year as recommended by the American College of Surgeons.
Attend the American Trauma Society's Trauma Registrar Course or equivalent provided by a state trauma program and the Association of the Advancement of Automotive Medicine's Injury Scaling Course within 12 months of hire.
Minimum qualifications for the ideal future caregiver include:
Knowledge of and skills using Epic and Excel
Medical terminology and analysis experience
Preferred qualifications for the ideal future caregiver include:
Associate’s Degree in Healthcare or two years of experience including medical terminology
Certified Specialist in Trauma Registry (CSTR), Registered Information Technician (RHIT) or Certified Coding Specialist (CCS)
Previous data registry experience including knowledge in case abstraction, data entry, ICD-9 or ICD-10 coding, and AIS/ISS scoring
Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we’re dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/
Physical Requirements
Frequently sitting at computer, eye strain, wrist and back strain. Frequent high degree of dexterity in computer work.
Personal Protective Equipment
Follows standard precautions using personal protective equipment as required.
The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All offers of employment are follwed by testing for controlled substances and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after one year.
Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.
Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.
Please review the Equal Employment Opportunity poster.
Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities
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