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About Duke University Hospital
Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States and is the number one hospital in North Carolina, according to U.S. News and World Report for 2023-2024. Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.
General Description of the Job Class
Position collaborates closely with Trauma Center staff to maintain the efficient operations of hospital, state, and national trauma registry. Maintains the database unique to trauma registry. This can include identification, collection, coding, scoring, and entering of data into a registry database. In addition, performing follow-up for the purposes of incidence, treatment and outcomes, performance improvement, administrative planning and marketing, support programs and research activities. Interprets data for research projects. Ensures adherence to data management protocols to insure regulatory compliance standards. Assists with quality control activities, information requests, and quality improvement studies as requested.
Collects treatment and outcome information for quality improvement activities, administrative planning and marketing, support programs and research activities. Interprets data for research projects. Ensures adherence to data management protocols set forth to maintain Level I trauma status. Assists with quality control activities, information requests, and quality improvement studies as requested.
Duties and Responsibilities of this Level
Level I - Trauma Registrar Performs identification and abstraction from the medical record, and entry into the trauma database, on each trauma patient meeting trauma registry database qualification. Analyzes data for accuracy and validates for submission to the state and national databases in a timely manner. Interprets data and prepares reports for performance improvement, support of related programs, administrative planning and marketing, research purposes, and regulatory visits. Coordinates with outside agencies to obtain medical records. Participates in local, state, and national meetings and conferences as required by state and national regulations. Acts as a resource for others in the abstracting and coding of trauma injuries
Level II Trauma Registrar In addition to the Level I responsibilities: - Independently researches and solves complex coding problems. - Serves as coach and educational resource to Level I Trauma Registrars.
Minimum Qualifications
Education
High School diploma plus 2 years post high school education or associated work experience.
Experience
One year experience as a Trauma registrar, or similar health-related experience such as a RN, EMT, CNA, medical coder, HIM, etc. Previous experience in chart auditing, ICD9 & 10 codes, medical procedure coding strongly preferred.
Degrees, Licensures, Certifications
Level 1: Successful completion of American Trauma Society's (ATS) registrar exam and the Association for the Advancement of Automotive Medicines' (AAAM) injury scale coding exam within 12-months of employment. In addition to ATS and AAAMA must successful complete the Certified Specialist in Trauma Registries (CSTR) exam within 18-months of employment. Maintains active license/certification such as RN, EMT, CNA, etc. Level 2: ATS, AAAM, and CSTR certification. Maintains certifications along with applicable license/certification such as RN, EMT, CNA, etc.
Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
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Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.