Trauma Registrar at Health Information Alliance

Health Information Alliance

Trauma Registrar


Health Information Alliance, Inc. is looking for experienced, passionate trauma registrars committed to abstracting high quality, standardized trauma data to join our growing trauma registry division. Part-time remote contract positions are in demand. Trauma centers and, more importantly, their trauma patients rely on high-quality trauma data. It is the trauma registrar who is on the frontline of high-quality trauma data abstraction

Job Summary:

  • Abstracts physiological and anatomical data on trauma patients for inclusion into a trauma data collection system
  • Performs identification, prioritization and injury coding of trauma patients for inclusion into a trauma data collection system
  • Performs duties to support the abstraction of quality trauma data for use locally, statewide and nationally
  • Performs other trauma registry duties as may be required per the contract

Major Duties and Responsibilities:

  • Maintains confidentiality and security of patient data at all times
  • Abstracts data from the medical record according to the requirements of the hospital, state and national trauma registry data definitions including demographic characteristics, prehospital information, initial hospital treatment, operating room usage, outcome and final disposition.
  • Participates in periodic quality reviews
  • Interacts in a positive manner with client(s)
  • Remotely accesses electronic health records and trauma data collection systems

Competencies and Skills:

  • Must have completed coursework in physiology, anatomy and medical terminology
  • Must have the ability to code in ICD-10-CM specific to injuries and mechanism of injuries
  • Must have the ability to code in ICD-10-PCS
  • Must have the ability to assign severity of injury utilizing the AAAM Abbreviated Injury Scale
  • Must be able to analyze and process detail-oriented information
  • Must be able to read and understand data definitions using a standard data dictionary
  • Must be self-motivated and able to work independently
  • Must be very comfortable working with technology and personal computer

Education and Experience:

  • Minimum 3 years of trauma registry experience required
  • Must have experience with electronic health records
  • Must have experience with NTDS trauma data definitions
  • Must have CSTR or CAISS
  • Must have experience with one or more trauma data collection systems (e.g. DI COLLECTOR, TraumaOne, Trauma Base, etc.)
  • RHIA, RHIT, RN, LPN Preferred
  • Experience abstracting trauma data for pediatric and/or ABA burn patients is desired

Working Condition and Physical Demand:

  • Work is typically performed in a home office environment.

General Requirements:

The ideal candidate must possess the following characteristics:

  • Commitment and reliability; be able to dedicate consistent time to HIA
  • Superb communication and responsiveness
  • Computer literacy
    • Must be comfortable with, but not limited to: Excel, web-browsers, email, electronic health records (non-specific)
    • Must be familiar with various technologies such as, but not limited to: security (e.g., Citrix), data collection/abstraction, encoders, web-based applications
  • Self-maintenance of skillset
    • Maintaining credentials
    • Staying current with abstraction/coding rules, manuals, and guidelines
  • Prior experience in position applying for
  • Motivation; remote work can be team-based, but requires the ability to work independently
  • Strong interpersonal skills and tactfulness to be able to effectively communicate with team members and client contacts

The specific statements shown in this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job

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