The Trauma Registrar supports VCU Health System’s adult and pediatric Trauma Programs and helps maintain verification requirements for Level 1 Trauma Center status. This role manages a registry database by identifying cases for inclusion, abstracting data from the electronic medical record, prehospital databases, and other sources, and entering accurate information into the registry.
The position assigns ICD-10 diagnosis codes and other specialized coding, including Abbreviated Injury Scale (AIS) scores, to procedures, comorbidities, and complications according to established methodologies and coding rules. It also performs daily chart reviews for patients in the registry, reports complications and quality issues to a supervisor, ensures adherence to data management protocols, and supports performance improvement activities.
The registrar works with basic to moderate complexity cases, including patients with multiple complications and deaths, and may be required to work evenings and weekends when needed based on case volume and survey requirements.
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification preferred
- Registered Health Information Technician (RHIT) preferred
- Associate’s degree in any field that includes two semesters of medical terminology and Anatomy/Physiology, or in medical records coding from an accredited program
- Proficiency with MS Office, including email, Word, and Excel
- 1+ years of experience in medical data abstracting/coding preferred
- Trauma or surgery registry abstraction/coding experience preferred
- Strong skills with Windows-based software, databases, and spreadsheet tools
- Experience with medical terminology and acronyms related to diagnoses, procedures, complications, and comorbid conditions
- Experience with accurate and timely data entry and verification
- Ability to interpret medical information and work in a fast-paced environment
- CAISS certification required within 24 months of hire
Location
Richmond, Virginia, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago