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Day - 08 Hour (United States of America)

This is a Stanford Health Care job.

A Brief Overview

The primary responsibility of the Trauma Registrar is Trauma Registry data abstraction, ICD-9 Coding, AIS coding, E-Coding, Procedure coding, data entry into the Trauma Registry, and concurrent participation in the Trauma Performance Improvement process at Stanford Hospital and Clinics and Lucille Packard children's Hospital, and Santa Clara County EMS, , in accordnace with the American College of Surgeons, Santa Clara County, and California TItle XXII Trauma Center regulations. The main role is to provide timely and accurate abstraction, coding, injury scoring, and identififcation of performance improvement issues, through review of the medical record, from time of injury through hospital discharge of trauma patients. The Trauma Registrar actively participates in local, regional and statewide trauma meetings and educational offerings. The Trauma Registrar is a liaison to other members of the healthcare team who provide care to trauma patients. The trauma Registrar supports trauma performance improvement and research at Stanford Hosptial and Clinics and Lucile Packard Children's Hospital. The Trauma Registrar must adhere to HIPAA requirements, confidentiality and security.

Locations

Stanford Health Care

What you will do

+ Demonstrates competency in data abstraction, entry into the trauma database, and coding of injuries and procedures in the trauma database, using ICD-9 coding, Association for the Advancement of Automotive Medicine (AAAM) - Abbreviated Injury Scoring to calculate Injury Severity Scores and probability of survival; and e-Coding to track & report mechanisms of injury. Meets expected monthly quality and productivity standards according to departmental, Stanford Hospital and Clinics, Santa Clara County EMS Agency & the American College of Surgeons' requirements.

+ Understands the importance of data reporting and interacts appropriately with physicians and other departments to obtain the documentation necessary for accurate code assignment.

+ Validates data by participating in departmental inter-rater-reliability activities on a monthly basis, running monthly departmental validation reports, and monthly National Trauma Databank validation reports;

+ Participates in the monthly correction of errors identified during the validation process, thus ensuring the validity of data dispensed for trauma research, performance improvement & system issues.

+ Writes reports using the trauma registry to support trauma research, performance improvement, best-practice, and injury prevention.

+ Attends departmental, local, regional, and state trauma meetings and committees as required by Santa Clara County and the American College of Surgeons. Shares information with the rest of the team.

+ Maintains competency as a trauma registrar by completing four (4) hours per year of trauma registry related continuing education, as required by the American College of Surgeons Committee on Trauma.

+ Demonstrates a high degree of independence in performance of responsibilities, working effectively without direct supervision. Exhibits strong time management, problem solving and communication skills. Is able to effectively utilize various computer systems in performance of job functions.

+ Maintains an understanding of regulations, standards and practices as they relate to Trauma Center verification/designation requirements, and HIPAA. Is knowledgeable of the various regulatory and data reporting agencies and their functions.

+ Must perform all duties and responsibilities in accordance with the American College of Surgeons Trauma Center requirements and California Title XXII Trauma System regulations.

Education Qualifications

+ High School Diploma or GED

Experience Qualifications

+ Less than two (2) years professional work experience in nursing, medical records, hospital coding, health-science related field, health relate research, and/or health related program development, implementation and evaluation

Licenses and Certifications

+ Complete American Trauma Society Registrar Course within 1 year of hire .

+ Complete most recent AAAM’s Abbreviated Injury Scale Course within 1 year of hire .

+ Most Current ICD-10 Course Completion within 1 year of hire .

These principles apply to ALL employees:

SHC Commitment to Providing an Exceptional Patient & Family Experience

_Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery._

_You will do this by executing against our three experience pillars, from the patient and family’s perspective:_

+ Know Me: Anticipate my needs and status to deliver effective care

+ Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health

+ Coordinate for Me: Own the complexity of my care through coordination

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in** **all of** **its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale: Generally starting at $42.13 - $47.44 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

At Stanford Health Care, we seek to provide patients with the very best in diagnosis and treatment, with outstanding quality, compassion and coordination. With an unmatched track record of scientific discovery, technological innovation and translational medicine, Stanford Medicine physicians are pioneering leading edge therapies today that will change the way health care is delivered tomorrow.

As part of our spirit of discovery, we also leverage our deep relationships with luminary Silicon Valley companies to develop new ways to deliver preeminent patient care.

Learn about our awards (https://stanfordhealthcare.org/about-us/awards.html) and significant events (https://stanfordhealthcare.org/about-us/our-history.html) .