Trauma Registrar Coder 1
Charleston - West Virginia (WV),
CAMC Health System
Estimated salary $14.62 - $21.92 an hour
Evaluate patients records and assign appropriate codes. Abstract pertinent data from patients' clinical records. Review records for reimbursement purposes and to ensure quality control.
• Read and interpret medical record entries to identify all diagnoses and surgical procedures. • Assign appropriate ICD-10-CM and AAAM codes in compliance with recognized coding principles and department policies. • Identify patients who meet criteria for inclusion in the trauma registry. • Abstracts data from medical record and other sources. Enters data in Trauma Registry concurrently and retrospectively. • Perform AIS (Abbreviated Injury Severity) coding and Injury Severity Scoring. • Verify and correct any data discrepancies by initiating communication with physicians and other hospital personnel. • Responsible for the accurate and timely entry of all abstracted and coded date into the computer system. • Provide data and statistical information for performance improvement, trauma education and research, trauma service outreach, and routine trauma service reports. • Participate in the Trauma Service's quality and performance improvement initiatives. • Enter all abstracted and coded data into the computer system in an accurate and timely manner. • Promote and enhance positive customer service and a positive environment. •
Maintains a 95% or greater abstracting accuracy rate.
Knowledge, Skills & Abilities
1. Maintain and document all applicable required education. 2. Demonstrate positive customer service and co-worker relations. 3. Comply with the company's attendance policy. 4. Participate in the continuous, quality improvement activities of the department and institution. 5. Perform work in a cost effective manner. 6. Perform work in accordance with all departmental pay practices and scheduling policies, including but not limited to, overtime, various shift work, and on-call situations. 7. Perform work in alignment with the overall mission and strategic plan of the organization. 8. Follow organizational and departmental policies and procedures, as applicable. 9. Perform related duties as assigned.
- High School Diploma/GED
- Formalized training in Medical terminology
- No experience required
• No Certification, Competency or License Required
Work Schedule: Days
Location: General Hospital
Location of Job: US:WV:Charleston
Pay Range: 14.62 - 21.92