Trauma Registrar

Trauma Registrar

Join Cleveland Clinic Fairview Hospital and experience world-class healthcare at its best. Fairview Hospital provides state-of-the-art healthcare to all its patients. On our team, you will provide stellar patient care to patients assigned to your unit. Cleveland Clinic is recognized as one of the top hospitals in the nation. Cleveland Clinic Fairview Hospital is a proud Magnet Hospital awarded by the American Nurses Credentialing Center. This designation is the highest honor an organization can receive for professional nursing practice.   

Under the direction and supervision of the Trauma Medical Director and Trauma Program Manager, the Trauma Registrar abstracts and codes medical record data on trauma patients according to guidelines established by the American College of Surgeons, Trauma Quality Improvement Program (TQIP), the State of Ohio Trauma Registry, and the regional trauma system. The registrar performs all data collection, abstraction and entry of all trauma patients into the trauma registry and assigns ICD-9/ICD-10, ISS, AIS, E-Codes, and Trauma Scores.

A caregiver in this position works days, 8:00am – 4:30pm. No weekends, No holidays(Hybrid schedule after first year)

A caregiver who excels in this role will: 

• Complete identification of patient records for entry into the trauma registry.

• Collect, abstract, and accurately enter trauma patient information into the trauma registry in a timely manner.

• Complete final entry of patient data no later than 60 days post discharge.

• Participate in data validation and maintain department standard.  

• Comply with all internal/external reporting requests and requirements.

• Assist in the preparation for American College of Surgeons trauma center verification.

• Ensure data is abstracted and submitted to meet the American College of Surgeons and State of Ohio data submission deadlines.

• Close charts according to the American College of Surgeons guidelines.

• Complete 8 hours of trauma registry related continuing education per year as recommended by the American College of Surgeons.

• Obtain required certifications/education as directed by the American College of Surgeons.  Generally includes AAAM AIS, trauma registry and ICD 10 (or updated versions).

Minimum qualifications for the ideal future caregiver include: 

• Knowledge of and skills using Epic and Excel 

Preferred qualifications for the ideal future caregiver include: 

• Associate’s degree in healthcare or two years of experience including medical terminology

• Certified Specialist in Trauma Registry (CSTR), Registered Information Technician (RHIT), or Certified Coding Specialist (CCS)

• Previous data registry experience including knowledge in case abstraction, data entry, ICD-9 or ICD-10 coding, and AIS/ISS scoring

• Strong background in anatomy and medical terminology 

• Knowledge of TraumaBase

Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we’re dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/