Trauma Registrar PRN

Artesia General Hospital; Artesia (NM); On-site; USD 49,000 - 77,000; Part time

Job summary

Artesia General Hospital in Artesia, NM seeks a Trauma Registrar PRN to ensure accurate trauma data collection, abstraction, coding, and maintenance within the hospital's registry.

You will work with the Trauma Program Manager, physicians, nursing staff, coding, and QA teams to support regulatory reporting, performance improvement, and designation readiness.

This role requires attention to detail, healthcare terminology knowledge, and adherence to HIPAA.

Qualifications

• High school diploma or equivalent required; associate or bachelor’s degree preferred.
• Experience in hospital setting, medical records, health information management, trauma services or clinical data abstraction preferred.
• Familiarity with medical terminology, anatomy, injury classification, and healthcare documentation.

Responsibilities

• Identify trauma patients who meet inclusion criteria and abstract data from medical records.
• Enter, maintain, and validate registry data including demographics, injury details, and outcomes.
• Assign ICD-10-CM and AIS codes according to policy and guidelines.
• Compute injury severity measures and ensure data integrity within timelines.
• Prepare submissions for state and national trauma databases and support regulatory reviews.

Skills

Data abstraction

Attention to detail

Analytical thinking

Communication skills

HIPAA/privacy knowledge

Education

High school diploma

Associate or Bachelor's in Health Information Management or related field

Tools

Electronic Health Records (EHR) systems

Data-entry systems

Spreadsheets

Reporting software

Job description

Trauma Registrar PRN# Trauma Registrar PRN## OverviewSalary Range$35.58 - $55.95 HourlyPosition TypePRNJob ShiftAnyEducation LevelHigh School Diploma / GEDCategoryNursing## Description**Job Summary:** The Trauma Registrar is responsible for the accurate, timely, and complete collection, abstraction, entry, validation, and maintenance of trauma patient data within the hospital’s trauma registry. This position supports trauma program operations, performance improvement, quality assurance, regulatory compliance, and trauma center verification or designation requirements. **General Description:**The Trauma Registrar reviews medical records for patients who meet established trauma registry inclusion criteria, abstracts clinical and demographic information, assigns appropriate injury and diagnosis codes, and ensures data integrity in accordance with applicable state and national reporting requirements. The Trauma Registrar works collaboratively with the Trauma Program Manager, Trauma Medical Director, Physicians, nursing staff, coding professionals, quality improvement personnel, and other healthcare team members. **Essential Values-Based, Leadership and Management Competencies:**At Artesia General Hospital, our leadership and management practices are grounded in our core values, captured in the acronym **S.E.R.V.I.C.E.** These values are the foundation of all employee activities and guide us in fulfilling our Mission.* **Servant Leadership** – Leading by serving others with compassion and humility.* **Excellence** – Striving for the highest quality in all we do.* **Respect** – Treating everyone with dignity and kindness.* **Virtuousness** – Acting with honesty, integrity, and accountability.* **Innovation** – Embracing new ideas to improve care and outcomes.* **Community** – Fostering collaboration to meet the needs of those we serve.* **Education** – Promoting learning and professional development.**ESSENTIAL FUNCTIONS:**To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.**Trauma Registry Data Management** * Identify trauma patients who meet established trauma registry inclusion criteria.* Review medical records, including emergency department documentation, operative reports, diagnostic imaging, progress notes, discharge summaries, and other relevant clinical documentation.* Abstract, enter, and maintain accurate patient demographic, injury, clinical, treatment, outcome, and disposition data.* Assign injury diagnoses and codes in accordance with applicable ICD-10-CM and Abbreviated Injury Scale (AIS) requirements, based on organizational policy and qualifications.* Calculate and validate injury severity measures, including Injury Severity Score (ISS), as applicable.* Ensure accurate documentation of injury mechanisms, prehospital care, emergency department care, operative interventions, hospital course, complications, and patient outcomes.* Maintain complete and accurate registry records within established data-entry timelines.* Perform data validation, identify discrepancies, and resolve errors through medical record review and collaboration with appropriate personnel.* Maintain patient confidentiality and comply with HIPAA and hospital privacy and security policies.**Regulatory Compliance and Reporting** * Support compliance with applicable state trauma registry reporting requirements, including New Mexico requirements when applicable.* Prepare and submit required trauma data to designated state and national trauma databases in accordance with established deadlines.* Maintain familiarity with applicable trauma data dictionaries, inclusion criteria, coding guidelines, and reporting standards.* Assist with preparation for trauma center verification, designation, certification, and regulatory reviews.* Maintain organized documentation to support data audits, external reviews, and internal quality assessments.**Performance Improvement and Quality Assurance** * Assist the trauma program with performance improvement and patient safety activities through accurate registry data collection and reporting.* Generate reports, data summaries, and statistical information to support trauma program evaluation.* Identify trends, variances, data gaps, and opportunities for improvement.* Support trauma mortality and morbidity reviews, multidisciplinary case reviews, and other quality improvement activities as requested.* Provide registry data to authorized personnel for clinical performance improvement, research, education, and operational planning.* Participate in data validation audits and ongoing quality assurance initiatives.**ADDITIONAL RESPONSIBILITIES**:**Communication and Collaboration** * Collaborate with the Trauma Program Manager, trauma medical director, physicians, nurses, emergency medical services representatives, health information management, and quality improvement staff.* Communicate documentation of deficiencies and data discrepancies to the appropriate personnel.* Participate in trauma program meetings, educational activities, and process improvement initiatives as assigned.**Professional Development** * Maintain current knowledge of trauma registry standards, coding guidelines, and applicable regulatory requirements.* Participate in continuing education related to trauma data management and registry operations.* Maintain required certifications and credentials, as applicable.**KNOWLEDGE/SKILL/ABILITIES:*** Strong attention to detail and commitment to data accuracy.* Ability to analyze clinical records and abstract information consistently.* Knowledge of medical terminology, anatomy, injury mechanisms, and trauma care processes.* Strong organizational, analytical, and time-management skills.* Ability to work independently and collaboratively with a multidisciplinary team.* Effective written and verbal communication skills.* Ability to maintain confidentiality and handle protected health information appropriately.* Ability to recognize data discrepancies and follow established procedures for resolution.**AGE-RELATED COMPETENCIES:** Demonstrates the basic knowledge and skills necessary to identify age-specific patient needs appropriate for this position.**Information Management:** Treats all information and data within the scope of the position with appropriate confidentiality and security.**Risk Management/Quality Management/Safety:** Cooperates fully in all Risk Management, Quality Management, and Safety Activities and Investigations.**MINIMUM POSITION QUALIFICATIONS:*** **Education** – High school diploma or equivalent required; associate or bachelor’s degree in health information management, nursing, health sciences, or a related field preferred.**Work Experience:*** Experience in a hospital setting, medical records, health information management, trauma services, clinical data abstraction, or healthcare quality preferred.* Familiarity with medical terminology, anatomy and physiology, injury classification, and healthcare documentation.* Strong computer skills, including electronic health records, data-entry systems, and spreadsheet or reporting applications.* Ability to interpret clinical documentation and maintain accurate, detailed records.* Ability to manage multiple priorities and meet established deadlines. **Preferred Qualifications*** Previous experience working with a trauma registry or trauma program.* Knowledge of state trauma registry requirements and National Trauma Data Bank (NTDB) reporting standards.* Familiarity with Trauma Quality Improvement Program (TQIP) data requirements, when applicable.* Current or prior trauma registry education or certification, such as Certified Specialist in Trauma Registries (CSTR), preferred.* Familiarity with Abbreviated Injury Scale (AIS) coding and injury severity scoring.* Experience with trauma registry software, data validation, and quality improvement reporting.**ENVIROMENTAL CONDITIONS:** Work environment consists of daily patient contact, which may include exposure to blood, or other body fluids.**PHYSICAL REQUIREMENTS:**The position is primarily performed in a hospital office or designated administrative work area. Duties require prolonged computer use, reviewing electronic medical records, and communicating with clinical and administrative personnel. Occasional travel for meetings, education, or professional development may be required.