Trauma Registrar

St. Josephs Medical Center; Houston (TX); On-site; USD 52,000 - 76,000; Full time

Job summary

St. Joseph Medical Center in Houston seeks a trauma registry professional to maintain the hospital Trauma Registry, assign ICD-10 and AIS codes, and submit quarterly to SETRAC/DSHS/NTDB. The role supports trauma program leadership and collaborates with care teams to ensure accurate data capture and reporting.

You will perform daily chart abstraction, compile reports, and assist in regulatory surveys while fostering patient safety and data quality across the trauma services.

Qualifications

• High School Diploma or equivalent
• Completion of Association for the Advancement Automotive Medicine (AAAM) Abbreviated Injury Scaling (AIS) course
• Typing and office management skills which include organization necessary to perform multiple tasks
• Ability to accurately take notes and transcribe meeting minutes
• Proficient using Microsoft Office, including Excel Spreadsheet
• American Trauma Society (ATS) Basic Trauma Registrar Core Course preferred upon hire; if does not have will complete within one year
• Certification Abbreviated Injury Scaling (CAISS) preferred upon hire

Responsibilities

• Compiles reports as directed by Trauma Program Leadership
• Identify trauma patients based on ICD-10 diagnosis codes for chart abstraction using various hospital documentation sources
• Performs daily chart abstraction on trauma patients and enters data into the trauma registry to include patient demographic information, dates of service, injury details, pre-hospital data, diagnoses, procedural and treatment information
• Maintains an up-to-date trauma registry with quarterly uploads to DSHS State registry, SETRAC regional trauma registry and yearly to the NTDB
• Prepares reports on all drowning for submission to DSHS State registry
• Assists in the preparation for licensing and regulatory surveys for Trauma Designation
• Provides administrative support in typing, word processing, photocopying in trauma-related committees
• Other duties as assigned

Education

High School Diploma or equivalent

AIS course completion

CAISS preferred on hire

ATS Core Course preferred on hire

Tools

Microsoft Office

Excel

ICD-10 coding knowledge

AIS knowledge

Job description

Summary

Performs functions associated with maintaining the hospital Trauma Registry through data abstraction, data entry assignment of appropriate ICD-10 codes and Abbreviated Injury Scale (AIS) and electronic data submission to Texas Department of State Health Services (DSHS) Trauma Registry and the Southeast Texas Regional Advisory Council (SETRAC) Regional Trauma Registry and National Trauma Data Bank (NTDB).

Duties and Responsibilities

Service

• Consistently supports and communicates the Mission, Vision, and Values of St. Joseph Medical Center.
• Upholds the Standards of Conduct and Corporate Compliance.
• Compiles reports as directed by Trauma Program Leadership

People

• Collaborates with inter- and intra-professional colleagues to ensure quality outcomes.

Quality

• Completes annual education requirements.
• Promotes of a culture of patient safety which results in the identification and reduction of unsafe practices.
• Identifies risks and hazards to patients through various risk assessments, with actions taken to mitigate patient harm.
• Accurately assign injury codes and procedure codes using ICD-10 coding.
• Maintain an up-to-date trauma registry with quarterly uploads to DSHS State registry, SETRAC regional trauma registry and yearly to the NTDB.
• Prepare reports on all drowning for submission to DSHS State registry.
• Assist in the preparation for licensing and regulatory surveys for Trauma Designation.
• Provides administrative support in typing, word processing, photocopying in trauma-related committees.
• Other duties as assigned

Growth

• Enhances the patient experience by fostering a positive relationship with customers.
• Contributes to improving Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHP) results.
• Identify trauma patients based on ICD-10 diagnosis codes for S00-S99, T07, T14, T20-T28, T30-T32 and T79.A1-T79.A9 for chart abstraction using various hospital documentation sources.
• Performs daily chart abstraction on trauma patients and enters data into the trauma registry to include patient demographic information, dates of service, injury details, pre-hospital data, diagnoses, procedural and treatment information.

Minimum Knowledge, Skills and Abilities

• High School Diploma or equivalent.
• Completion of Association for the Advancement Automotive Medicine (AAAM) Abbreviated Injury Scaling (AIS) course.
• Typing and office management skills which include organization necessary to perform multiple tasks.
• Ability to accurately take notes and transcribe meeting minutes.
• Proficient using Microsoft Office, including Excel Spreadsheet.
• American Trauma Society (ATS) Basic Trauma Registrar Core Course preferred upon hire; if does not have will complete within one year.
• Certification Abbreviated Injury Scaling (CAISS) preferred upon hire.

Preferred

• Bi or Multilingual
• ICD-10, AIS and ISS experience.
• Previous medical records experience.

Houston's oldest hospital is GROWING!

Welcome to St. Joseph Medical Center (SJMC), Houston's first and only downtown hospital delivering world-class care for the last 137 years and looking forward to the next century of exceptional care to Houstonians when they need us most.

Whether it's for a scheduled surgery, the birth of a baby, an unexpected emergency, or an outpatient visit, we have staff available around the clock to provide you access to immediate, quality health care. SJMC has been providing health care services to Greater Houston residents for over 130 years, which should give you great comfort in knowing that we have a great tradition of caring for our community. We strive to meet our patients' expectations and encourage our patients to provide us with feedback on how we can help them have the best experience possible while they're in our care.

Over the last years we have expanded our services to include the Advanced Wound Care Center, Comprehensive Cardiac and Vascular Services, the Women's Center, the St. Joseph Maternal Fetal Medicine Center, and a Weight Loss Surgery Program, just to name a few. As you work with our physicians, nurses, case managers, educators, and other staff, you will be guided through your health care journey, from diagnosis to treatment, with compassion every step of the way.

Diversity, equity, inclusion, and belonging are at the foundation of the care St Joseph Medical Center provides to our community we are privileged to support in all of our employment practices. We do not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or expression or any other non-job-related characteristic.