Trauma Registrar

Sentara Health

6d•Remote

About The Position

The Trauma Registrar is responsible for collecting, abstracting, coding, validating, and maintaining trauma-related data for all eligible patients. This position ensures accurate and timely submission of data to the hospital trauma registry, the National Trauma Data Bank (NTDB), Trauma Quality Improvement Program (TQIP), and state or regional registries. The Trauma Registrar supports the trauma program’s performance improvement and patient safety initiatives, accreditation efforts, and trauma-related research.

Requirements

High School Diploma or equivalent required
Administrative experience - 3 years required
Knowledge of medical terminology, anatomy, and physiology required
Completion of the ATS Trauma Registry Course is required within 12 months of hire
Completion of the AAAM AIS Coding Course is required within 12 months of hire
Completion of an ICD-10 trauma course is required within 12 months of hire, and a refresher course every 5 years

Nice To Haves

Associates' and/or Bachelor's degree in HIM or healthcare-related field, or nursing licensure preferred
CAISS certification preferred, required within 24 months of hire
CSTR certification preferred
Two (2) years of experience in health information management, computer data management/data processing, or medical records preferred
Prior trauma registry experience strongly preferred
Proficiency in ICD-10, CPT, and AIS coding preferred

Responsibilities

Identify trauma patients who meet the inclusion criteria.
Abstract clinical and demographic data from electronic medical records, EMS records, and provider documentation.
Code injuries using the Abbreviated Injury Scale (AIS) and assign ICD-10 and CPT codes as appropriate.
Enter abstracted information into trauma registry software accurately and within required timeframes.
Validate data for accuracy, completeness, and compliance with ACS, NTDB, and state trauma registry standards.
Maintain confidentiality and security of patient health information in compliance with HIPAA.
Provide trauma case data for quality improvement, research, and performance improvement reviews.
Prepare reports and statistical summaries for internal committees and external agencies.
Support trauma center verification/accreditation processes.
Participate in trauma multidisciplinary performance improvement meetings as needed.
Work with physicians, nurses, EMS providers, and quality staff to ensure accurate data collection.
Assist with trauma-related research projects and provide data for publication or benchmarking.
Maintain current knowledge of trauma registry practices, coding guidelines, and data quality standards.
Attend continuing education workshops, webinars, or professional conferences as assigned – 8 hours/ year required.

Benefits

Medical, Dental, Vision plans
Adoption, Fertility and Surrogacy Reimbursement up to $10,000
Paid Time Off and Sick Leave
Paid Parental & Family Caregiver Leave
Emergency Backup Care
Long-Term, Short-Term Disability, and Critical Illness plans
Life Insurance
401k/403B with Employer Match
Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
Student Debt Pay Down – $10,000
Reimbursement for certifications and free access to complete CEUs and professional development
Pet Insurance
Legal Resources Plan
Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met