Remote Trauma Data Registrar & Coding Specialist

Sentara Health; Norfolk (VA); Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

401k with Employer Match

Paid Time Off

Job summary

Sentara Health seeks a qualified Trauma Registrar to join our team. The role focuses on identifying trauma patients, abstracting data from EMR/EMS, and coding injuries with AIS, ICD-10, and CPT while ensuring timely entry into the registry software.

You will validate data for accuracy, support quality improvement initiatives, and generate reports for committees and external agencies. Training occurs on-site at Sentara Norfolk General before transitioning to remote work within the Hampton Roads,

Qualifications

• Administrative experience – 3 years required.
• Knowledge of medical terminology, anatomy and physiology.
• Two years of health information management or medical records experience preferred.
• Trauma registry experience strongly preferred.
• Proficiency in ICD-10, CPT and AIS coding preferred.

Responsibilities

• Identify trauma patients meeting inclusion criteria.
• Abstract clinical and demographic data from EMR, EMS, and provider documentation.
• Code injuries using the 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 per year required.

Skills

Administrative experience

Medical terminology

Anatomy & physiology

ICD-10 coding

CPT coding

AIS coding

Trauma registry experience

Education

Associates' degree in HIM or healthcare-related field

Bachelor's degree in HIM or healthcare-related field or nursing licensure

Tools

Trauma registry software

Job description

Sentara Health seeks a qualified Trauma Registrar to join our team. The role focuses on identifying trauma patients, abstracting data from EMR/EMS, and coding injuries with AIS, ICD-10, and CPT while ensuring timely entry into the registry software.

You will validate data for accuracy, support quality improvement initiatives, and generate reports for committees and external agencies. Training occurs on-site at Sentara Norfolk General before transitioning to remote work within the Hampton Roads,