Trauma Data Registry Specialist

Join Cleveland Clinic Mercy Hospital and experience world-class healthcare at its best. Officially becoming a full member of the Cleveland Clinic Health System in 2021, Mercy Hospital offers a wide variety of medical specialties to the communities in and around Stark County. Here, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.  

As a Trauma Data Registry Specialist, you will abstract and code medical record data for trauma patients according to guidelines established by the American College of Surgeons, the Trauma Quality Improvement Program (TQIP), the State of Ohio Trauma Registry, and the regional trauma system. In this role, you will collect, abstract, and enter data for all trauma patients into the trauma registry and assign ICD-9/ICD-10 codes, Injury Severity Scores (ISS), Abbreviated Injury Scale (AIS) scores, E-codes, and trauma scores.

To be considered for this position, candidates must reside in Northeast Ohio (NEO).

A caregiver who excels in this role will:  

• Identify patient records for entry into the trauma registry.
• Collect, abstract, and accurately enters 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 standards.  
• 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.
• Chart closures according to the American College of Surgeons guidelines.
• Other duties as assigned.

Minimum qualifications for the ideal future caregiver include:   

• Associate degree in Health Information Technology, Medical Coding, Health Sciences, or related field and one year of experience in medical coding, health information management, clinical data abstraction, or trauma registry operations OR successful completion of formal education/training in medical coding or health information with demonstrated competency in clinical documentation review                                                                              
• OR High School Diploma with successful completion of formal education/training in medical coding or health information with demonstrated competency in clinical documentation review and one year of experience
• Certifications required within twelve (12) months of hire and must be maintained thereafter:                                                                             
  • AAAM AIS Course Certificate                                                               
  • Certificate from Trauma Registry course                                                          
  • ICD-10 Course Certificate dated within the past 5 years

Preferred qualifications for the ideal future caregiver include:  

• Prior experience working with trauma registry software, electronic medical records (EMR), or participation in trauma data collection activities
• 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
• RHIT or coding background
• Previous experience as a Trauma Registrar
• Background in anatomy and medical terminology
• Knowledge of TraumaBase

• Frequently sitting at computer, eye strain, wrist and back strain. 
• Frequent high degree of dexterity in computer work.

• 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 drug free environment. All offers of employment are followed by testing for controlled substances.

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. 

If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/

Please review the Equal Employment Opportunity poster. 

Cleveland Clinic is pleased to be an equal employment opportunity employer.