Clinical Data Registrar-Operations Management

Role Overview

Clinical Data Registrar - Operations Management at Sheikh Shakhbout Medical City (SSMC). This role is responsible for collection and abstraction of required data elements into the clinical program registry database for all patients meeting defined inclusion criteria, while maintaining confidentiality and providing registry data for performance monitoring, improvement, and research.

Role Purpose

Collect, abstract, validate, and maintain high-quality clinical registry data across assigned programs. Ensure compliance with regulatory standards, data integrity, and timely submission while supporting performance improvement and research initiatives.

Key Responsibilities

Data Collection & Abstraction

• Perform basic data collection of demographics and coding of clinical and follow-up data from all sources into clinical program registry database.
• Provide high quality data entry by abstraction of required data elements from the patient chart in real time and retrospectively.
• Determine appropriateness of patient entry into the Clinical Program Registry based on applicable clinical program guidelines and data standards/dictionary.

Quality Assurance & Validation

• Participate in quality assurance, data validation (5-10% case files), and improvement activities to ensure accuracy of data collection and timely submission of data according to required standards.
• Maintain registry currency as per Standards Set by Regulatory Bodies, currently 80% complete within 60 days of patient discharge.
• Ensure data validation (5-10% case files) with a validity rate of not less than 90%.
• Understand mapping concepts and validate mapping of registry software for reporting requirements.

Coding & Problem Resolution

• Resolve routine coding issues and problems.
• Appropriately seek assistance from assigned Clinical Program leadership and/or Registry vendor when appropriate.

Clinical & Stakeholder Engagement

• Interact with physicians, nurses, and other members of the assigned clinical program team and patients to perform registry functions.
• Recognize patterns of mechanism of injury during case abstraction in order to contribute to opportunities for injury prevention and community safety.

Reporting & Documentation

• Report data in formats such as Excel and/or PowerPoint for both internal and external consumption, including statistical, clinical, and research data.
• Complete required reporting in required timeframes.
• Maintain confidentiality of the registry and follow guidelines regarding Data Request Management.

Performance Improvement

• Assist with performance improvement projects under the direction of the Operations/Program Manager/Director as indicated.

Program Responsibility

• Own the Trauma and/or Burn Program Data Registry.

Qualifications & Experience

Education

• Bachelor degree in health-related field.

Certifications

#### Required

Within one year of hire, the following certifications are required if not already certified:

• Recognized Registrar Certification or program.
• Injury Scaling Certification.
• ICD Coding Certification (current and maintain currency within 5 years).

#### Desired

• Certified Abbreviated Injury Scale Specialist (CAISS) OR Certified Specialist in Trauma Registries (CSTR).

Experience

#### Required

• Work experience of at least two years.
• Knowledge of medical terminology is essential.

#### Desired

• Work experience of at least two years with strong emphasis on data integrity and analysis.
• Trauma/burn care experience.
• Previous Registry/Report Writing experience.

Skills & Competencies

• Proficiency in utilizing computer applications (Word, Excel, etc).
• Data management expertise.
• Data integrity and analysis capability.