Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits in fiscal year 2017.
U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2018-19.
Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, nephrology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.
In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.
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
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
Trauma Registrar In addition to the Level I responsibilities
Independently researches and solves complex coding problems.
Serves as coach and educational resource to Level ITrauma Registrars.
Required Qualifications at this Level
Education High School diploma plus 2 years post high school education or associated work 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, Licensure, and/or Certification
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.
Knowledge, Skills, and Abilities
Knowledge of basic medical terminology, anatomy, and physiology
Must be able to work in a team atmosphere in close proximity with other team members
Demonstrates ability in successful interpersonal communication and customer service skills
A high degree of skill set is need in the following areas: Independence and self-direction, strong degree of interpersonal skills, critical thinking, decision making, problem solving, working knowledge of Microsoft office to include above average knowledge in word and excel.
Ability to run and validate complex reports through the trauma registry's report writer.
Distinguishing Characteristics of this Level
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.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
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.
As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.