Trauma Registrar

Education
Bachelor's degree in healthcare studies preferred

Can this role accept experience in lieu of a degree?
Yes

Licenses and Credentials - One if not both certifications

Certified Specialist in Trauma Registry (CSTR)

Certified AIS injury Coding (CAIS)

Experience
Experience in a similar role, preferably in a hospital or healthcare setting 3-5 years required

Knowledge, Skills and Abilities
- Understanding trauma care principles, including injury classification systems, treatment modalities, surgical procedures, and best practices in trauma management.
- Proficiency in medical terminology related to trauma injuries, procedures, and medical conditions.
- Ability to collect, organize, and manage complex medical data, including patient demographics, injury details, treatment information, and outcomes.
- Skill in assigning accurate codes to injuries and diagnoses is crucial for data analysis and reporting.
- Ability to generate reports and present data in a clear and concise manner.
- Understanding of data privacy and security regulations, as well as compliance requirements related to trauma registry management.

DATABASE RESPONSIBILITIES

• Reviews the proper case selection using the MGH Trauma Division policy for inclusion and exclusion criteria and the ACS guidelines.
• Extracts data for all current data fields for the registries from various electronic or paper sources following divisional, MA state, ACS, NTDS, and TQIP policies.
• Fills out data entry forms when appropriate.
• Performs diagnostic/procedure coding following ICD10 rules and guidelines.
• Performs AIS injury coding following the AAAM coding rules.

• Identifies and Enters performance improvement and complication data points per TQIP criteria.
• Performs data entry on the cases selected and extracted adhering to the productivity matrix set up by the MGH trauma division and adhering to the ACS standards for Trauma Registrars
• Performs data abstraction and data entry for Burn Registry when needed

DATA MANAGEMENT

• Performs validation by reviewing reports and correcting errors when identified. Reporting discrepancies to manager when unable to resolve.
• Assists with data projects with direction from the program manager and may include research projects, education and outreach, data mining or performance improvement activities.
• Participates in all aspects of the TQIP Program
• Attends webinars on TQIP education.
• Takes quizzes regarding TQIP material.
• Proficient with TQIP concepts, definitions, and requirements
• Attends TQIP Scientific Conference yearly.
• Performs TQIP data abstraction and data entry.
• Adheres to the ACS registrar criteria as set by the ACS COT

ADMINISTRATIVE RESPONSIBILITIES

• Participates in the Performance Improvement Program including producing electronic PI folders.
• Medical Records abstracting for PI or other departmental projects.
• Perform/participate in special projects at the request of the Program Manager, Nursing Director or Administrative Director
• Other projects assigned by trauma administration.
• Stay compliant with CITI certification.
• Participates with American Trauma Society registrar programs and learning opportunities.
• Responsible to keep up with the newest concepts and techniques for the trauma registry and burn registry.
• Cross - covers for other staff members for breaks, lunches, vacations, etc. and during variations in workflow as needed.