Trauma Registrar - Level III Trauma (Coding/ICD-10 experience required) - Remote (Days)

Vanderbilt University Medical Center•Lebanon, TN
•Remote

About The Position

The Trauma Registrar collects, abstracts, and enters trauma patient information in Vanderbilt University Medical Center’s NTRACS Trauma Registry. The role supports trauma registry requirements for state and national reporting and Level I Trauma Center verification, including requirements related to the Tennessee state registry, the National Trauma Data Bank (NTDB), the Trauma Quality Improvement Program (TQIP), and the American College of Surgeons Committee on Trauma (ACS). The registrar completes abstraction of pre-hospital care, emergency department summaries, diagnoses, procedures, and discharge information, and assigns ICD-10-CM, ICD-10-PCS, and AIS codes as applicable. The position includes maintaining data integrity, preparing reports and presentations, validating registry entries, tracking inconsistencies, and communicating with clinical and administrative staff. It also involves ongoing participation in registry education and activities, including TQIP quizzes and webinars. The role is remote, Monday through Friday during standard business hours, and is full-time at 40 hours per week. The anticipated start date is November 2026.

Requirements

  • High school diploma or GED.
  • One year of relevant work experience.
  • Experience with medical record review, data abstraction, and medical terminology.
  • Knowledge of ICD-10 coding and healthcare documentation standards.
  • Strong computer skills and attention to detail.

Nice To Haves

  • AIS (Abbreviated Injury Scale) training and/or certification.
  • Knowledge of anatomy and physiology.
  • Experience using Epic electronic medical record systems.
  • Previous trauma registry or trauma program experience.

Responsibilities

  • Collect, abstract, and enter trauma patient information into the NTRACS Trauma Registry.
  • Abstract and enter 300 or more data points for trauma patients admitted to VUMC and MCJCH.
  • Review medical records for accuracy, completeness, and compliance with reporting standards.
  • Assign and validate ICD-10-CM, ICD-10-PCS, and other required injury-related codes and data elements, including AIS codes as applicable.
  • Complete abstraction of pre-hospital care, emergency department summaries, diagnoses, procedures, and discharge information.
  • Maintain data integrity and prepare reports and data presentations.
  • Submit trauma data to registries, databanks, and other trauma centers as required.
  • Determine patient registry eligibility and complete data abstraction and entry within applicable quality-measure and discharge timelines.
  • Participate in validation of 5–10% of registry data entry, track inconsistencies, and educate coworkers as needed.
  • Communicate with physicians, managers, nursing staff, process improvement staff, and research coordinators.
  • Maintain knowledge of current trends through monthly TQIP quizzes, TQIP Open Forum webinars, registry coursework, continuing education, and meetings.

Benefits

  • Comprehensive benefits package that may include health, disability, retirement, and/or wellness offerings.
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