POSITION SUMMARY:

Identifies, abstracts, and maintains comprehensive records for all trauma patients through the trauma registry data system. Ensures the accuracy, integrity, and timeliness of all data by systematically collecting, entering, validating, and reporting information for every trauma patient treated at Boston Medical Center, thereby supporting the institution’s qualification and continued compliance as a Level I Trauma Center. Conducts data analysis and disseminates information in accordance with established ethical, legal, and confidentiality standards. Maintains all required education, competencies, and professional certifications in alignment with American College of Surgeons (ACS) standards

Position: Trauma Registrar

Department: Critical Care & Trauma Surgery

Schedule: Full Time

ESSENTIAL RESPONSIBILITIES / DUTIES:

• Performs concurrent abstraction and data entry for all injury‑related hospital admissions, injury‑related deaths, injury‑related transfers, and all Full and Modified Trauma Team activations.
• Ensures that all data elements from the time of injury through rehabilitation are accurately captured in the trauma registry.
• Ensures that ICD‑10 diagnostic codes, Abbreviated Injury Scale (AIS) codes, and Injury Severity Scores (ISS) assigned within the Trauma Registry accurately reflect each patient’s documented injuries and severity.
• Assumes responsibility for identifying and validating all new trauma cases that meet inclusion criteria for entry into the registry.
• Collaborates professionally with physicians, nurses, ancillary staff, and all members of the multidisciplinary trauma team to support the goals, standards, and performance improvement initiatives of the trauma program.
• Maintains open and timely communication with the Trauma Program Manager regarding issues related to patient care documentation, data collection, reporting needs, and registry operations.
• Reports significant gaps, inconsistencies, or deficiencies in medical record documentation to the Trauma Program Manager to support accurate data abstraction and quality assurance.
• Manages workload efficiently to ensure that complete and validated data entry for all trauma patients is achieved within two months of hospital discharge, in accordance with program and accreditation requirements.
• Performs additional related duties as assigned to support trauma program operations, quality improvement, and regulatory compliance.
• The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job.
• The above is not intended to represent an exhaustive list of accountable duties and responsibilities required.
  

JOB REQUIREMENTS

REQUIRED EDUCATION AND EXPERIENCE:

• Associates degree (or equivalent combination of formal education and experience) required.  
• One year of ICD-10 coding and data entry experience required.

PREFERRED EDUCATION AND EXPERIENCE:

• Associate degree in a health‑related discipline

• Two to three years of experience in trauma registry operations, clinical data abstraction, health information management, or a related hospital‑based data role.
• Demonstrated experience with AIS coding, ISS calculation, and ICD‑10 diagnostic and procedural coding skills in accordance with ACS standards.
• Prior work in an ACS‑verified trauma center or a high‑volume emergency/critical care environment strongly preferred.
• Experience with trauma registry software platforms (e.g., Collector, TraumaBase, V5, or equivalent) and electronic health record systems.
• Proven ability to analyze clinical data, generate reports, support research activities, and meet state and national trauma data submission requirements.
• Familiarity with performance improvement processes, quality assurance, and regulatory reporting in a healthcare setting.

CERTIFICATIONS, LICENSES, REGISTRATIONS REQUIRED:

• AAAM Abbreviated Injury Scare (AIS)
• Trauma Registry course completion
• ICD-10 course
• *If not previously certified, employee must successfully complete within 6 months of hire. Refresher courses are mandatory.

KNOWLEDGE, SKILLS & ABILITIES (KSAs) (If none, please enter “N/A”):

• Demonstrated ICD-10 coding skills.
• Advanced medical terminology knowledge required.
• Demonstrated computer skills.
• Effective communication skills required.
• Knowledge of trauma registry system preferred.

Compensation Range:

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being. 

NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location.

Equal Opportunity Employer/Disabled/Veterans

According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.