Trauma Registrar

Overview

Under the direct supervision of the trauma program manager, the trauma registrar abstracts medical information from records and enters clinical data in the state registry database.

• Enter clinical data of abstracted charts of trauma patients in the state registry in a timely manner per trauma guidelines.
• Abstract clinical data from charts of trauma patients when needed.
• Collaborate with the trauma program manager and other hospital staff in maintaining updated policies and procedures related to trauma under the trauma program manager’s direction.
• Actively participate in ongoing preparation for any state agencies and the ACS site visits.
• Collaborate in a professional manner with all members of the healthcare team to promote the goals and objectives of the trauma department.
• Maintain active participation in the Trauma Multi‑Disciplinary Committee and the performance improvement process.

• Maintain current and accurate meeting minutes of the Trauma Multi‑Disciplinary Committee and the Trauma Peer Review Committee.
• Schedule and inform medical staff and hospital staff of any and all trauma meetings.
• Perform other duties as assigned.

Minimum Education:

• High school diploma or GED equivalent.
• Associate Degree in Nursing or Health Information Management preferred.

Minimum

Work Experience:

• Medical related experience preferred.
• Experience with information technology software including word processing, database management, presentation and compilation of data/patient records preferred.

Required

Licenses/Certifications:

None required.

Required Skills, Knowledge and Abilities:

• Ability to listen, interact, and communicate verbally and in writing.
• Detail oriented with strong organizational skills.
• Knowledge of ICD‑9‑CM and CPT‑4 HCPs coding systems preferred.