The Trauma Registrar is responsible for managing and maintaining the Trauma Registry Data System remotely, ensuring accurate data collection, coding, and reporting in compliance with ACS and South Carolina DPH standards. This role is with the Medical University Hospital Authority (MUHA), a trusted healthcare institution committed to excellence in patient care and data integrity.
What You'll Do
- Collect, compile and maintain concurrent accurate data in the Trauma Registry.
- Ensure accurate current AIS/ICD-CM coding required by the National Trauma Data Bank, American College of Surgeons and the Abbreviated Injury Scaling system on all trauma patients.
- Maintain daily trauma database of patients admitted to MUSC meeting the National Trauma Data Bank and South Carolina DHEC inclusion criteria.
- Abstract and analyze information from Epic, EMS Patient care records, outside hospital transfer records and any other sources of documentation that may be available to capture accurate patient information into the Trauma Registry.
- Demonstrate knowledge of current ICD-CM, AIS, Glasgow Coma Scale, Revised Trauma Score, Probability of Survival and Trauma and Injury Severity score.
- Demonstrate knowledge of anatomical and medical terminology used frequently with trauma patients.
- Collaboration to help improve TQIP scoring and performance improvement.
- Identify, document and discuss complications, PI issues, and noted variances in data while reviewing and analyzing charts.
- Report identified issues and trends directly to the department’s management.
- Trauma Registry data integrity.
- Analyze and identify errors and omissions in data entry using Inter-Rater Reliability.
What We're Looking For
- High school diploma with experience in medical terminology
Nice to Have
- A medical records course to include ICD-CM or AIS and one year related experience
- Associate degree in coding
- Experience in data entry
- Familiarity with chart abstraction
- Experience with EPIC electronic medical record
- Experience with Image Trend Patient Registry
- Certified Coding Associate (CCA)
- Certified Professional Coder (CPC)
- Certified Abbreviated Injury Scale Specialist (CAISS)
- Certified Trauma Registrar (CSTR)
Technical Stack
ICD-CM, AIS, EPIC, Image Trend Patient Registry, Trauma Registry Data System
Team & Environment
Reports to the Trauma Registry Manager.
Benefits & Compensation
- Hourly pay structure
- Scheduled Weekly Hours: 40
Work Mode
Remote position with global work flexibility.
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need. Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees.
