Trauma Registrar (full-time)

The incumbent in this position is responsible for the Trauma Registry data, office coordination activities of Trauma Services, including record and manual maintenance, establishing essential records and data bases, and first line interactions regarding customer concerns.

ESSENTIAL JOB FUNCTIONS

• Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.
• Performs all other duties as assigned or as needed to meet the needs of the department/organization.
• In collaboration with the Trauma Registrar, maintains the trauma registry for the purpose of performance improvement by measuring and evaluating plans to improve both the processes of care and the outcome. Facilitates in designing the registry to facilitate performance improvement activities, trend reports, and research while protecting confidentiality.
• Assists in identifying trauma cases from all sources within the hospital.
• Accessioning, abstracting and ICD-10, AIS, Coding, of medical data with computer entry of identified cases following state and nationally recognized guidelines.
• Provides abstracted and follow-up data to Montana Department of Health & Human Services and National Trauma Data Bank and Trauma Quality Improvement Program
• Maintains department(s) data bases, primary records, manuals, and reference materials. Duties include system maintenance and data integrity for various system applications.
• Provides data for and aids in case review, Trauma M&M, Trauma Committee, Trauma Case conference, ERTAC and STCC.
• Designs and produces documents, forms, reports and data graphs for projects and programs based on needs identified by the staff and management for the department(s) and/or organization. Duties include data gathering, database extractions, and data analysis for various projects and preparation of a variety of reports and data graphs requiring independent judgment with minimal supervision.
• Provides routine administrative and secretarial support to department staff including file management, telephones, meeting preparation and minutes, etc. Coordinates functions for identified department staff and physicians including:

Coordinate & assist staff/consultants with travel plans and meeting arrangements

Appropriate supply maintenance

Site, material, and equipment preparation for educational offerings and presentations

• Communicates appropriately with customers to identify concerns and issues, identifies routing to appropriate resource, and follows up to ensure all matters requiring attention are addressed promptly and efficiently. Resolves problems identified within areas of responsibility along with working proactively to redesign processes in order to enhance productivity and cost efficiency.
• Utilizes performance improvement principles to assess and improve quality.
• Identifies need and sets goals for own growth and development; meets all mandatory organizational and departmental requirements.
• Maintains competency in all organizational, departmental, and outside agency environmental, employee or patient safety standards relevant to job performance. Identifies and anticipates problems and safety issues and initiates appropriate action.

Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.

KNOWLEDGE OF:

• Human anatomy, physiology and medical terminology
• ICD-10 coding
• Process Improvement, Patient Safety processes
• Trauma Quality Improvement Program Data Reports
• Abstracting medical data from trauma registry
• Billings Clinic policies and procedures, both organizational and departmental
• Personal computers, hardware and software
• Microsoft Office Programs (i.e., Windows, Outlook, Word, Excel, etc.)
• Patient safety standards
• Customer service techniques and Personal Service Excellence (PSE) skills
• Basic statistics, data collection and analysis tools
• Confidentiality requirements
• Regulatory agencies and requirements
• Office management techniques and practices

SKILL IN:

• Strong interpersonal skills, including the ability to interact effectively with employees, leadership, physicians, regulatory agencies, and public
• Professional communication skills, both verbal and written
• Report writing and database extractions
• Use of microcomputer software such as word-processing, graphics packages, spreadsheets, etc.; Microsoft Office Programs (i.e. Word, Excel & Powerpoint)
• Organizing and prioritizing
• Working with technical staff across departmental lines
• Data analysis
• Composing and editing correspondence and reports
• Conflict resolution

ABILITY TO:

• Work independently and be flexible
• Organize multiple projects simultaneously
• Communicate effectively, both written and verbal
• Interpret, adapt and apply guidelines and procedure
• Monitor, compile and analyze information
• Incorporate population specific needs into all aspects of communication and patient care; scope of services provided will encompass age groups from infant through geriatric
• Lift, bend, stretch and reach to accomplish duties
• Establish and maintain effective relationships
• Adapt to varying workload assignments and changes in service priorities
• Perform tasks or duties with frequent interruptions and competing priorities
• Concentrate and pay close attention to detail when planning and performing professional nursing care, resolving patient/resident care problems and dealing with patients/residents and their families, while working with frequent interruptions and competing priorities
• Assist with development, piloting, use, and validation of data collection methodologies.
• Work with trauma coordinator and multidisciplinary teams to collaboratively address program development, problem identification and resolution, regulatory compliance, system performance and outcome measures.

COMPLEXITY & DIFFICULTY:

• Position requires the highest degree of integrity and confidentiality due to sensitive nature of information handled in the course of patient care and coordination with the various medical providers within the community
• Accountable to provide clinically sound information
• Requires excellent working relationships with all levels of health care providers
• Inappropriate communications or dissemination of information can result in significant financial/legal damages to Billings Clinic and/or physicians
• Poorly kept, incomplete, or inaccurate records can affect the facility's accreditation status MINIMUM QUALIFICATIONS

MINIMUM QUALIFICATIONS

Education

• High School or GED

Experience

• 2 years of EMS and/or Healthcare care related professional experience
• 1 year of Information/data system maintenance