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Trauma Data Registry Specialist
Cleveland ClinicCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in trauma registry operations, including data abstraction, ICD-9/ICD-10 coding, and compliance with American College of Surgeons guidelines. Proficient in maintaining accurate patient records and meeting reporting deadlines while ensuring adherence to health information standards.
Highest-signal resume keywords
ICD-10 CodingTrauma Registry OperationsData AbstractionClinical Documentation ReviewAAAM AIS Course Certificate
About the role
Key responsibilities & impact- Identify patient records for entry into the trauma registry
- Collect, abstract, and accurately enter trauma patient information into the trauma registry
- Assign ICD-9/ICD-10 codes, Injury Severity Scores (ISS), Abbreviated Injury Scale (AIS) scores, E-codes, and trauma scores
- Complete final patient data entry no later than 60 days post discharge
- Participate in data validation and maintain department standards
- Comply with internal and external reporting requests and requirements
- Assist in preparation for American College of Surgeons trauma center verification
- Ensure data is abstracted and submitted by American College of Surgeons and State of Ohio deadlines
- Close charts according to American College of Surgeons guidelines
- Perform other duties as assigned
Requirements
What you’ll need- Associate degree in Health Information Technology, Medical Coding, Health Sciences, or related field and one year of experience in medical coding, health information management, clinical data abstraction, or trauma registry operations; OR successful completion of formal education/training in medical coding or health information with demonstrated competency in clinical documentation review
- OR high school diploma with successful completion of formal education/training in medical coding or health information with demonstrated competency in clinical documentation review and one year of experience
- Must reside in Northeast Ohio (NEO)
- AAAM AIS Course Certificate required within 12 months of hire and maintained thereafter
- Certificate from Trauma Registry course required within 12 months of hire and maintained thereafter
- ICD-10 Course Certificate dated within the past 5 years required within 12 months of hire and maintained thereafter
- Preferred: prior experience with trauma registry software, electronic medical records (EMR), or trauma data collection activities
- Preferred: CSTR, RHIT, or CCS certification
- Preferred: experience with case abstraction, data entry, ICD-9/ICD-10 coding, and AIS/ISS scoring
- Preferred: trauma registrar experience
- Preferred: background in anatomy and medical terminology
- Preferred: knowledge of TraumaBase
- Must comply with Cleveland Clinic Health System influenza prevention program or obtain an approved exemption
- Must complete controlled-substance testing following an offer of employment
Benefits
Comp & perks- Remote work arrangement
- Day shift schedule: 7:00am-3:30pm or 8:00am-4:30pm
- Annual influenza vaccination or approved exemption
- Drug-free workplace with controlled-substance testing following offers of employment
- Equal employment opportunity
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
ICD-9 CodingInjury Severity Score (ISS)Abbreviated Injury Scale (AIS)E-CodesData EntryCase AbstractionTrauma ScoringClinical Data AbstractionTrauma Data CollectionHealth Information Management
Tools & Technologies
Trauma Registry SoftwareElectronic Medical Records (EMR)TraumaBase
Certifications & Qualifications
AAAM AIS Course CertificateTrauma Registry Course CertificateICD-10 Course CertificateCSTR CertificationRHIT CertificationCCS Certification
Industry Keywords
Trauma RegistryHealth Information TechnologyMedical CodingClinical DocumentationAnatomyMedical TerminologyCleveland Clinic Health SystemInfluenza Prevention Program