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#PBT-0931-105753
Supplemental Questionnaire

Last Name
First Name

 

0931 Manager III- Director of Coding and Documentation Integrity (PBT-0931-096658)

The purpose of this Supplemental Questionnaire is to determine if you meet the Minimum Qualifications of the position.  The information you provide to the following questions does not substitute for the online application, and all information provided MUST be consistent with the information listed on your application. You must still complete all sections of the online application. Please be sure to update all sections of your application prior to submission.

All information provided is subject to verification.  Please do not write, "See Application" or "See Resume" as a response. Resumes will not be reviewed.


1a

What is your highest level of education?

High School Diploma
Bachelor's Degree
Master's Degree
Phd
1b

If you possess a Bachelor's degree or higher, what was your major?

2

Please check all certificates you have.

CCS Certificate of Clinical Coding Specialist
RHIT Registered Health Information Technician
RHIA Registered Health Information Administrator
CDIP Certification in Documentation Improvement Professional
CCDS Certified Documentation Specialist
CCDS - O Certified Clinical Documentation Specialist Outpatient
CDEO Certified Documentation Expert Outpatient
I do NOT have any of the above mentioned certificates
3

How many years of professional HOSPITAL MEDICARE CODING experience you have?

1-2 years of Hospital Medicare coding experience
3-4 years of Hospital Medicare coding experience
5 AND more years Hospital Medicare coding experience
I do NOT have experience in HOSPITAL MEDICARE coding experience
 

I understand that checking this box will serve as my electronic signature. I certify that I am the author of this questionnaire and all information presented is true and based upon my education, training, skills, and experience. I understand and agree that any information provided is subject to verification. I also understand that any false, incomplete, or incorrect statement may result in disqualification, termination, or dismissal from employment with the City and County of San Francisco.