Trauma Registrar

Responsibilities

• Collection, abstraction, and entry of clinical data of admitted trauma patients into the TraumaOne database.
• Assign diagnosis and procedural codes to trauma patient’s injuries using ICD-10 and AAAM coding systems.
• Identify and enter patients into the trauma database based on trauma database inclusion criteria.
• Participate in data validation process to ensure the integrity of the collected data.
• Collaborate with the Trauma Program Manager to maximize the efficiency of abstracting required data elements from the medical record and other sources.
• Participate in ongoing preparation for the American College of Surgeons (ACS) site visit.
• Collaborate with the healthcare team to promote the goals and objectives of the Division of Trauma.
• Participate in professional development/educational activities to advance skills and knowledge of trauma care and data information systems.

Requirements

• High School graduate or equivalent required.
• Associate’s or bachelor’s degree in Medical Record Management or related health science field preferred.
• Completion of Trauma Registrar course within 9 months of hire.
• Certification in Injury Severity Index Scoring/AIS within 1 year of employment.
• CCA or CCS certified highly desirable.
• Solid knowledge of anatomy required.
• Strong medical terminology background required with at least 2 years of healthcare experience.
• Solid knowledge of ICD-10- CM preferred.
• Knowledge of database management and Microsoft Office Suite required.
• Detailed orientation and strong organizational skills.

Qualifications

• High School graduate or equivalent required.
• Associate’s or bachelor’s degree in Medical Record Management or related health science field preferred.
• Completion of Trauma Registrar course within 9 months of hire.
• Certification in Injury Severity Index Scoring/AIS within 1 year of employment.
• CCA or CCS certified highly desirable.
• Solid knowledge of anatomy required.
• Strong medical terminology background required with at least 2 years of healthcare experience.
• Solid knowledge of ICD-10- CM preferred.
• Knowledge of database management and Microsoft Office Suite required.
• Detailed orientation and strong organizational skills.