Official SealSan Joaquin County Human Resources Division


#0718-RO4212-01
Supplemental Questionnaire

Last Name
First Name
1.

Do you have at least one year experience in an acute-care hospital or health care facility with experience in medical coding or medical records? (If Yes please include the experience in your application)

 

 

Yes No
2.

Do you possess a current Certified Coding Specialist (CCS) certificate issued by the American Health Information Management Association or Certified Professional Coder (CPC) certificate issued by the American Academy of Professional Coders?

 

If yes, please identify the type of certificate, when was it issued and the certificate number.

Note:  Copies of the certification must be attached to your application.

3.

Are you currently registered as a Registered Health Information Administrator (RHIA)?

If yes, please identify registration number and date of issuance.

4.

Are you currently certified as a Registered Health Information Technician?

If yes, please identify certification number and date of certification.

5.

These Medical Coder - Certified positions are on-site positions. Incumbents in these positions must physically work on-site at San Joaquin General Hospital. Do you understand and acknowledge this requirement for employment?

Yes No