**General Summary** Serves in a lead role to assist in the daily operations and work activities for the System-wide Trauma Registry department. Abstracts a variety of trauma related data from patients' medical records and enters into the Trauma Registry for use in quality assessment and research activities. Analyzes registry data. Disseminates information in accordance with professional ethics. Preserves confidentiality and security of patient data stored in the registry files. **Duties and Responsibilities** **Essential Functions:** + Spends approximately 5% of the weekly time allotment beyond the abstraction and entry of patient data performing tasks to ensure the integrity and quality of the registry. This includes, but is not limited to: committee participation, database management, education, interface with outside agencies, PIPS participation, research assistance, accreditation survey preparation, report generation, data analysis, electronic downloads, data validation, etc.. + Abstracts a variety of data from patients' medical records and enters into the Trauma Registry. + Organizes input and maintains patient computer data to ensure conformance to registry operational standards; preserves the confidentiality and security of patient data stored in the registry files. + Assists with data collection for quality assessment/management, special studies and research purposes. Prepares appropriate reports. + Performs a variety of functions related to Pennsylvania Trauma Systems Foundation standards compliance and Trauma Center accreditation such as PIPS Participation, research, site survey preparation, and committee work. + Compiles data for and prepares regularly scheduled or special reports, analyses and statements. + Enters and/or retrieves data from established computer files using knowledge of various computer software applications. Interface with outside agencies. + Performs database management by maintaining appropriate records, reports, and files as required. + Trauma Registry participation in inter-rater should be maintained at multidisciplinary conferences that deal with the review and analysis of trauma registry data. + Retains authority, responsibility and accountability for direction and maintenance of the trauma registry and ensuring that it maintains at a minimum, a target of 85% of the cases abstracted within 42 days of discharge. + Assists with Registry staff training and education. **Common Expectations:** + Maintains established policies and procedures, objectives, quality assessment and safety standards. + Enhances professional growth and development through participation in educational programs, current literature, inservice meetings, and workshops. + Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation. **Qualifications** **Minimum Education:** + High School Diploma or GED Required + Certificate Program Post High School Vocational/Specialized Training (Medical secretarial or medical record technician program) Preferred **Work Experience:** + 1 year Health-related field/allied health Required **Courses and Training:** + The Registrar will complete the Basic Trauma Registry Course and the ATS Trauma Registrar Course within 1 year Required and + Previous completion of the PTSF Intermediate or Advanced Registrar Course fulfills the above requirements Upon Hire Required and + Other equivalent courses are acceptable based upon objectives. Upon Hire Required and + The Association of the Advancement of Automotive Medicine Injury Scaling Course (Registrars in the role prior to October 1, 2016 must have completed requirements by October 2017). Upon Hire Required and + The Trauma Registrar must have evidence of continuing education related to the trauma registry which includes eight hours of continuing education per year and can be fulfilled by attendance at PTSF Registry Conferences, internal, external and/or online opportunities. Upon Hire Required **Knowledge, Skills, and Abilities:** + Knowledge of anatomy and physiology + Medical terminology + ICD-9/ICD-10 CM coding + Computer competency + Database management **Benefits Offered:** Comprehensive health benefits Flexible spending and health savings accounts Retirement savings plan Paid time off (PTO) Short-term disability Education assistance Financial education and support, including DailyPay Wellness and Wellbeing programs Caregiver support via Wellthy Childcare referral service via Wellthy **Quality of Life** Founded in 1741, the city of York is considered by many as the first capital of the United States. The Articles of Confederation were signed by the Second Continental Congress here in 1777. Its beautifully restored historic district is an architectural treasure. While York retains its farming and manufacturing heritage, at its heart York is a thriving cultural community that has attracted creative talent and innovative entrepreneurial investors from across the nation. Life in York County offers affordable housing, options for higher education, a thriving arts and cultural community, historical attractions, parks and recreational resources, semi-professional baseball team, fine dining and more - within an easy drive of major East Coast cities. York County residents can find local employment in healthcare, manufacturing, technology, agricultural and service sectors. (Patient population: 445,000) WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic.