Coding Auditor, Educator
WelbeHealth
Trauma Registry Analyst
Prisma Health
full-time
Posted on:
Origin: • 🇺🇸 United States • South Carolina
Visit company websiteJob Level
JuniorMid-Level
About the role
- Identify trauma patients meeting registry inclusion criteria per SC Trauma Registry Data Dictionary, NTDB and ACS standards
- Abstract clinical and outcomes data from pre-hospital EMS database and in-patient medical record (demographics, co-morbidities, diagnoses, injuries, ED data, operations, procedures, complications, outcomes, performance improvement, and financial data)
- Code procedures, diagnoses, and injuries using ICD-10, AIS injury coding, E-codes and enter data into Trauma Registry
- Maintain registry within NTDB, State Trauma Registry Data Dictionary, and PHR Trauma Program standards
- Perform data analysis and data validation for monitoring data quality, errors, and omissions
- Prepare reports for performance improvement, research, administrative and medical staff meetings, injury prevention, and Trauma Center designation/verification
- Prepare, process and submit Trauma Registry records to State Trauma Registry quarterly and annually to NTDB
- Participate in performance improvement monitoring and report trends to PI Coordinator and TPM
- Ensure compliance with Palmetto Health HIPPA and IRB research policies
- Attend and participate in Multi-disciplinary Trauma Patient Care Conference, Committees, and Trauma Association of South Carolina
- Work with Trauma Registry software vendor and PHR IT on data submissions, upgrades, imports, and enhancements
- Respond to information requests and write reports to support coding, billing, trauma research, injury prevention, and other Trauma Program activities
Requirements
- Associate Degree in Health Information Management or related field of study
- Two (2) years in medical record coding or relevant clinical experience
- In Lieu Of: AHIMA, AAPC coding certification, CSTR and/or CAISS, or other healthcare related licensure accepted as equivalent
- Required Certifications (preferred or eligible): RHIT, RHIA, CCS, or CSTR (Certified Specialist in Trauma Registry)
- Requires AAAM course certification (AIS coding) and Trauma Registry Course within one (1) year
- Extensive knowledge of ICD-10 coding, AIS coding, E-codes, anatomy, physiology, medical terminology and disease processes
- Computer literate and proficient in keyboarding, spreadsheets, word processing, and databases
- Ability to analyze and report registry data to support the activities of the Trauma Program
- Ability to work independently with strong attention to detail
- Knowledge of National standards published by the ACS, State Standards published by DHEC and State Trauma Regulations
- Ability to comply with Palmetto Health HIPPA and IRB research policies
