Trauma Registrar

Join Cleveland Clinic and experience world-class healthcare at its best. Cleveland Clinic Hillcrest Hospital is a proud Magnet Hospital awarded by the American Nurses Credentialing Center, the highest honor an organization can receive for professional nursing practice. Here, you will work alongside a dedicated team of caregivers, receive endless support and appreciation, and build a rewarding career.  

As a Trauma Registrar, you will abstract and code medical record data for 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. In this role, you will identify patients who meet trauma registry criteria, review and abstract information from medical charts, and collect, abstract and enter data into the trauma registry. You will assign ICD-9/ICD-10 codes, Injury Severity Scores (ISS), Abbreviated Injury Scale (AIS) codes, E-Codes and trauma scores. You will also perform reporting activities, audit other registrars’ work and submit data to state and national organizations. This role is highly data-driven, with a strong emphasis on registry management, data abstraction and accuracy.

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:   

• Complete 8 hours of trauma registry related continuing education per year as recommended by the American College of Surgeons
• Within one of hire, obtain required certifications/education as directed by the American College of Surgeons (Includes AAAM AIS, trauma registry and ICD 10 (or updated versions)
• Knowledge and skills using EPIC and Excel

Preferred qualifications for the ideal future caregiver include:  

• Associate degree in Health Care or equivalent work experience of at least two years, 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
• Trauma Registrar experience
• Medical coding experience
• Coding knowledge

• Ability to perform work in a stationary position for extended periods
• Ability to operate a computer and other office equipment
• Ability to communicate and exchange accurate information ​

• 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.