COVID-19 Vaccination Information

Across UPMC, our guiding principle is to always prioritize the safety of our employees, patients, and members. UPMC believes that vaccination is important, helps protect all, and advocates that everyone who can be vaccinated should be vaccinated.

UPMC complies with all governmental requirements related to local, state, and federal COVID-19 vaccination for employment. The Jan. 13 Supreme Court of the United States decision that the Centers for Medicare & Medicaid Services federal COVID-19 vaccine mandate will move forward requires UPMC to ensure employees either get vaccinated or receive a requested medical or religious exemption.

If you are not yet vaccinated, we urge you to get a vaccine now. You can schedule your COVID-19 vaccination through UPMC or visit a non-UPMC provider or UPMC Urgent Care location.

Proof of vaccination is not required upon hire; however, employees will be responsible for ensuring post-hire compliance by getting vaccinated or requesting a medical or religious exemption.

For more information about UPMC’s response to COVID-19, please visit UPMC.com/coronavirus.

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Trauma Registrar - Coding/HIM

Description

Purpose:
Maintain the efficient operation of the Trauma Patient Registry. Ensure consistency and quality in the data collection system. Identification of trauma patients, admissions, abstracting, coding, and entering information into the trauma database. Retrieval of data for quality assurance purposes. Compliance with Pennsylvania Trauma Systems Foundation requests for data. Work closely with the Trauma QA/Registry Coordinator and Trauma Program Manager. Also interacts with Medical Records, Information Services personnel, and patient unit staff.

Responsibilities:

  • Document data and time of attendance at continuing education programs.
  • Demonstrate an awareness of the hospital's commitment to providing excellence in trauma patient care by supporting the Trauma Program's service management objectives.
  • Perform related responsibilities as requested by the Trauma Program Manager.
  • Follow protocol for removing or adding patients to the database.
  • Identify appropriately trauma patients by monitoring daily the Emergency Department and Admitting Department identification systems.
  • Perform additional trauma patient medical record abstracting or audit activities for quality assurance, research, education, or for the purpose of identifying and addressing documentation deficiencies.
  • Engage in follow-up activity as appropriate
  • Accurately maintain the computerized registry system, which includes keying data, making additions, and making corrections, as necessary.
  • Contact appropriately the Trauma QA/Registry Coordinator for problem-solving and clarification of clinical information.
  • Maintain accurately the statistical database, generate routine monthly reports, and respond to special requests for statistical information.
  • Work with the Trauma Nurse Specialist and Trauma QA/Registry Coordinator to collect, organize, and disseminate results.
  • Maintain confidentiality of patient information and follow hospital policies relating to the security of patient information.
  • Ensure that all PTOS information is accurate, complete, and submitted within the time frames established by PTOS protocol.
  • Maintain communications with the state Trauma Registrar and/or PTOS analysts for purposes of clarifying information or responding to requests for clarification of information.
  • Maintain and expand current knowledge base through attendance at appropriate in-services or seminars and by studying reference material.
  • Abstract from the trauma patient medical record relevant information required for the hospital registry and the Pennsylvania Trauma Outcome Study, including selection and coding of diagnoses and procedures using ICD9-CM, and calculation of trauma and Injury Severity Scores accurately and efficiently.
  • Retrieve information from the database upon request of Trauma Services or other appropriate personnel. Determine the data elements and design the output for the request.
  • Attend and participate in Trauma QI activities such as MAC meetings.
  • Conduct concurrent reviews of trauma patient records within 48 hours of admission and enter select information into the database to provide current information for quality assurance, outreach, education, and public relations purposes.
  • Document and disseminate information as appropriate.

Qualifications

  • High School Diploma with a minimum of 3 years of trauma registry, coding and/or abstracting experience OR a Graduate of an accredited record technician program OR an Associate Degree with 1 year of trauma registry, coding, and/or abstracting experience
  • Ability to demonstrate knowledge of medical record content, medical terminology, anatomy, and physiology required.
  • Prior experience in ICD-9 coding required.
  • Ability to abbreviate Injury Scoring (AIS) desired.
  • Demonstrate experience in computer data entry, databases, and data retrieval is desirable.
     

Licensure, Certifications, and Clearances:

  • Act 34
  • UPMC is an Equal Opportunity Employer/Disability/Veteran
  • Individuals hired into this role must comply with UPMC’s COVID vaccination requirements upon beginning employment with UPMC. Refer to the COVID-19 Vaccination Information section at the top of this page to learn more.

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   Current UPMC employees must apply in HR Direct

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