Associate Director Trauma Registry and Data Quality

Core Functions

• Maintains an accurate, quality-focused trauma registry database across multiple facilities and/or region(s) to ensure consistency, accuracy, and compliance, including but not limited to identification of trauma patients, data collection from multiple electronic sources and medical records, and data entry, according to the NTDS, ACS, state, and local requirements, and in conjunction with trauma registry team members, trauma data analyst, director, and executive director service line.
• Provides leadership and direction to registry team members while overseeing standardized workflow processes and abstraction practices for maximum efficiency.
• Participates in the design, coordination, and performance of the inter-rater reliability (IRR) process through validation audits, and cross-site data quality initiatives and functions to ensure data and process integrity by providing feedback on identified opportunities to team members.
• Involves key stakeholders, including director, executive director, data analyst, as indicated.
• Leads onboarding and ongoing education for designated registry team members and facility stakeholders, including Trauma Program Managers (TPMs) and other trauma program team members Trauma Performance Improvement Coordinators (TPICs).
• Promotes professional development, competency advancement, and certification achievement to support sustained excellence in trauma data management, registry operations, and program performance.
• Analyzes trauma data trends, identifies systemic risks, and partners with the Director to implement corrective and optimization strategies.
• Serves as a subject matter expert in trauma registry standards by maintaining current knowledge and skills as pertains to trauma registry software as well as injury coding/scoring, including ICD-10 CM, E-codes, AIS scoring, and OIS scoring through active abstraction.
• Maintains current certifications of CSTR and CAISS once achieved.
• Promotes a cooperative work environment by utilizing appropriate communication skills, interpersonal relationships, and team building.
• Buils and supports effective relationships with internal and external stakeholders and organizations.

Minimum Qualifications

• Bachelor’s degree in Nursing or related field.
• Current, valid RN license in the state of practice.
• Current Certified Specialist in Trauma Registry (CSTR) and Certified Abbreviated Injury Scale Specialist (CAISS) certifications required.
• Requires a proficiency level typically achieved with five years of clinical experience in the ED or ICU, five years of trauma registry and quality data experience and two years recent and progressive leadership experience.
• Completion of ATS Trauma Registrar course within six months of hire.
• Completion of the most current AIS course required at the time of hire.
• Completion of updated ICD 10 for trauma coding within the previous 5-year period.
• Demonstrated multi-site operational and regulatory experience.
• Experience with trauma registry software and electronic medical record (EMS) systems.
• Knowledge of Microsoft Office products.
• Strong analytical, leadership, and communication skills are essential.
• Demonstrated proficiency in interpersonal, written, and verbal communication, with the ability to build collaborative relationships and interact professionally and effectively with individuals, teams, and organizational stakeholders at all levels.