Trauma Prog Lead Registrar

Job Description

Job Description

Full Time, 1st Shift, Monday-Friday, 8:00am-4:30pm

Responsible for the accurate and timely identification, abstraction, coding, validation, and submission of trauma patient data within the trauma registry. Reviews the medical record to abstract required clinical, injury, treatment, outcome, and performance improvement data according to applicable trauma registry definitions and program requirements. Maintains the integrity and completeness of the trauma registry through ongoing data validation, correction of errors, and reconciliation of incomplete or inconsistent documentation. Supports trauma program performance improvement activities by identifying cases for review, providing registry data and reports, monitoring trauma-related measures, and assisting with data analysis. Collaborates with the Director of Quality, Trauma Program Manager, Trauma Medical Director, physicians, nursing, and other members of the multidisciplinary trauma team to support trauma performance improvement, patient safety, registry reporting, and program activities. Maintains knowledge of current trauma registry requirements, data definitions, and applicable state and national trauma standards. Completes required trauma registrar training in accordance with applicable American College of Surgeons (ACS) standards. Serves as the working lead and technical resource for trauma registry operations.

Job Duties and Responsibilities:
1. Identify trauma patients meeting established registry inclusion criteria and maintain an accurate, complete, and timely trauma registry.
2. Perform concurrent and retrospective medical record review and abstract required demographic, prehospital, injury, clinical, diagnostic, procedural, outcome, and performance improvement data.
3. Apply established trauma registry definitions, injury coding methodologies, and applicable state and national data requirements consistently and accurately.
4. Perform routine data validation, resolve registry errors and discrepancies, and ensure completeness and integrity of trauma registry data.
5. Submit required trauma registry data within established deadlines and maintain compliance with applicable reporting requirements.
6. Support trauma performance improvement and patient safety activities through case identification, data collection, issue tracking, and monitoring of outcomes and performance measures.
7. Prepare trauma registry reports and data analyses to support the Trauma Program Manager, Trauma Medical Director, trauma committees, and multidisciplinary performance improvement activities.
8. Collaborate with physicians, nursing, prehospital providers, and other members of the trauma team to clarify documentation, improve data quality, and support trauma program initiatives.
9. Maintain current knowledge of trauma registry requirements, coding conventions, data definitions, and applicable trauma standards, and participate in trauma education, meetings, performance improvement activities, and verification readiness.

Job Qualifications:
o 2 years healthcare experience required. RN or paramedic with strong anatomy and physiology knowledge preferred. Certified Abbreviated Injury Scale Specialist (CAISS) certification required within 12 months of hire.