Billing Analyst Jobs in South Carolina

Inspire health. Serve with compassion. Be the difference.

Job Summary

The Trauma Registry Analyst supports the Prisma Health Trauma Program and organizational requirements for verification/designation as a Trauma Center by the State Department of Public Health and American College of Surgeons Committee on Trauma (ACSCOT). The Trauma Registry Analyst is responsible for all aspects of the Trauma Registry Data including abstraction, entry, and coding. The Analyst applies comprehensive knowledge of anatomy, physiology and medical terminology to identify and collect complex data on the diagnoses, treatment and quality metrics related to trauma patients receiving care at a Prisma Health Trauma Center. Requires knowledge of State and National Trauma Standards (NTDS) and applies this knowledge in patient identification, data abstraction, co-morbidity and complication recognition to the trauma registry. Performs ICD-10 coding and AIS (Abbreviated Injury Scale) coding of all diagnoses and procedures of trauma patients. Data collected by the Trauma Registry Analyst is utilized by administrators, performance improvement coordinators, researchers, and American College of Surgeons (ACS) surveyors to evaluate the quality of care provided to trauma patients, for statistical analysis, performance improvement initiatives, trauma quality improvement and research. The Trauma Registry Analyst must utilize critical thinking, organization, and time management skills to achieve and maintain high productivity and accuracy.

Essential Functions

• All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
• Accurately identifies patients for inclusion in the trauma registry as specified by the National Trauma Data Standard (NTDS), State Trauma Registry, and Trauma Center.
• Accurately abstracts clinical data from Emergency Management System (EMS) Patient Care Record (PCR), in-patient medical record, referring hospital records and autopsy reports including patient demographics, injury event, pre-hospital information, injury diagnoses, operative and other procedures, ED data, co-morbidities, complications, patient outcome and financial data as defined by State Trauma Registry, NTDS, and Trauma Quality Improvement Program (TQIP). Accuracy and completion timeliness rates must meet or exceed established department goals.
• Accurately codes all diagnoses, procedures and external cause/location of the trauma patient using AIS coding and ICD-10 coding following trauma center, State Trauma Registry, NTDS, and TQIP guidelines.
• Actively participates in the PI process and supports research by gathering data on hospital specific performance and research metrics. Identifies and reports complications, comorbidities, issues and trends identified to leader.
• Performs data validation and correction of registry data at the close of each chart using the registry software validation tool. Performs logic validations monthly and makes corrections. Performs data corrections as needed per validation reports and prior to State and Trauma TQIP data submission. Completes assigned inter-rater validations.
• Performs other duties as assigned.

Supervisory/Management Responsibilities

This is a non-management job that report to a supervisor, manager, director or executive.

Minimum Requirements

• Education - Associate's degree in HIM or related healthcare field preferred.
• Experience - One (1) year of trauma registry, coding, HIM or relevant healthcare related experience.
• Requires completion of AAAM course (AIS coding) and Trauma Registry Course within one (1) year of hire.
• Requires ICD-10 Coding course within one (1) year of hire.

In Lieu Of

NA

Required Certifications, Registrations, Licenses

• One of the following certifications is preferred: CSTR (Certified Specialist in Trauma Registries) from the American Trauma Society or CAISS (Certified Abbreviated Injury Scale Specialist) from the Assoc. for the Advancement of Automotive Medicine (AAAM).
• An AHIMA (American Health Information Management Assoc) or AAPC (American Academy of Professional Coders) coding certification preferred.
• RHIT, RHIA, or CCS preferred.

Knowledge, Skills and Abilities

Knowledge of anatomy and physiology and medical terminology as well as disease processes.

Work Shift

Day (United States of America)

Location

Richland

Facility

1510 Richland Hospital

Department

15106579 Trauma/Neuro Administration

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