Career Central

Job Summary:

• Responsible for timely, accurate entry and abstraction of all trauma medical records for statistical purposes using coding guidelines, procedures, and New York State Trauma Registry.

• Responsibilities:

• Reviews entire record for all pertinent Trauma Registry clinical information.
• Abstracts and enters all predetermined Trauma Registry information on a computerized system. Submits all data prior to NY State required deadlines.
• Retrieves and documents statistical information for Trauma Services patients daily for Quality Improvement projects and programs. Identifies trends and makes recommendations for further study.
• Generates reports as per requirements of New York State Department of Health and Registry Trauma Committee.
• Interacts daily with trauma surgeons and other personnel in order to obtain/clarify needed. information.
• Develops the Trauma Services annual report. Creates presentation changes for a complete, concise final product.
• Provides administrative assistance to the Trauma Surgeons and the Trauma Nurse Liaison for clerical needs.
• Communicates with local, regional, and state registrar entry personnel to maintain accurate and complete information.
• Responds promptly to all phone calls and writteninquiries regarding Trauma Registry.
• Attends NY State Trauma meetings. Active participation on a state trauma committee.Chairs a state trauma committee or task force.
• Performs other duties as assigned.

Experience:

One to Three years experience coding patient records in acute care using ICD-9 process.

Education:

Knowledge of required coding guidelines, medical terminology, anatomy and physiology, Trauma Registry software.

Licenses/Certifications:

NY State Trauma Registrar Certification preferred.

Other:

• If applicable, the individual performing this job may reasonably anticipate coming into contact with human blood and other potentially infectious materials. Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control.
• Attention to detail.
• Excellent customer service and communication skills

About Us:

MidHudson Regional Hospital

MidHudson Regional Hospital in Poughkeepsie, NY, is home to the mid-Hudson Valley's most advanced healthcare services. This 243-bed facility cares for more than 10,000 inpatients annually while performing an additional 325,000 outpatient procedures each year. MidHudson Regional Hospital operates the area's only Level II trauma center, is home to the Redl Center for Cancer Care and Center for Robotic Surgery, and is a destination hospital for patients with serious illnesses and injuries.