Trauma Registrar

Sentara Healthcare Inc; Norfolk (VA); Hybrid; USD 50,000 - 65,000; Full time

Job summary

Sentara Health is seeking a Trauma Registrar to collect, abstract, code, validate, and maintain trauma data for eligible patients. You will ensure timely submission to the trauma registry, NTDB, TQIP, and state registries, supporting performance improvement and research initiatives.

The role requires strong knowledge of AIS coding, ICD-10, and CPT, with on-site training at Sentara Norfolk General initially, then remote-friendly work in Hampton Roads, VA.

Qualifications

• High School Diploma or equivalent required.
• Associates' or Bachelor's degree in HIM or healthcare-related field, or nursing licensure preferred.
• Administrative experience in health information management is required.
• Two years of experience in health information management, data management, or medical records preferred.
• Prior trauma registry experience strongly preferred.
• Proficiency in ICD-10, CPT, and AIS coding preferred.
• ATS Trauma Registry Course required within 12 months of hire.
• AAAM AIS Coding Course required within 12 months of hire.
• ICD-10 trauma course required within 12 months of hire, refresher every 5 years.
• CAISS certification preferred, required within 24 months of hire.
• CSTR certification preferred.

Responsibilities

• Identify trauma patients who meet inclusion criteria.
• Abstract clinical and demographic data from EMR/EMS and provider notes.
• Code injuries using AIS and assign ICD-10/CPT codes as appropriate.
• Enter data into trauma registry software within deadlines.
• Validate data for accuracy and compliance with ACS/NTDB standards.
• Maintain confidentiality of patient information per 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/year required.

Skills

Administrative experience

Medical terminology knowledge

HIPAA compliance

CPT coding

AIS coding

Education

High School Diploma or equivalent

Associates' or Bachelor's in HIM/healthcare or nursing licensure

Tools

Trauma registry software

ICD-10 coding tools

Job description

Sentara Health is seeking to hire a qualified individual to join our team as a Trauma Registrar.

Position Status: Full-time (40 hours a week), dayshift

Position Location: This position is remote only in Hampton Roads, VA. Training will be on-site at Sentara Norfolk General for the first 6 weeks.

Standard Working Hours: 8:00AM - 5:00PM during training. Flexibility with working hours after successful completion of training.

Overview

The Trauma Registrar is responsible for collecting, abstracting, coding, validating, and maintaining trauma-related data for all eligible patients. This position ensures accurate and timely submission of data to the hospital trauma registry, the National Trauma Data Bank (NTDB), Trauma Quality Improvement Program (TQIP), and state or regional registries. The Trauma Registrar supports the trauma program’s performance improvement and patient safety initiatives, accreditation efforts, and trauma-related research.

Essential Duties & Responsibilities

• Identify trauma patients who meet the inclusion criteria.
• Abstract clinical and demographic data from electronic medical records, EMS records, and provider documentation.
• Code injuries using the Abbreviated Injury Scale (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/ year required.

Education

• High School Diploma or equivalent required
• Associates' and/or Bachelor's degree in HIM or healthcare-related field, or nursing licensure preferred

Certification/Licensure

• Completion of the ATS Trauma Registry Course is required within 12 months of hire
• Completion of the AAAM AIS Coding Course is required within 12 months of hire
• Completion of an ICD-10 trauma course is required within 12 months of hire, and a refresher course every 5 years
• CAISS certification preferred, required within 24 months of hire
• CSTR certification preferred

Experience

• Administrative experience - 3 years required
• Knowledge of medical terminology, anatomy, and physiology required
• Two (2) years of experience in health information management, computer data management/data processing, or medical records preferred
• Prior trauma registry experience strongly preferred
• Proficiency in ICD-10, CPT, and AIS coding preferred