Official SealSan Joaquin County Human Resources Division


#1119-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 direct experience performing inpatient coding of medical records in a acute care hospital setting?  If yes, identify the following:

  • Name of the acute care hospital
  • Timeline of employment
  • Type of inpatient coding duties performed

Note: If you do not possess inpatient coding experience, annotate "N/A"  below.

3.

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.

4.

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

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

5.

Are you currently certified as a Registered Health Information Technician?

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

6.

This Medical Coder - Certified position is an on-site position. The incumbent in this position must physically work at San Joaquin General Hospital. Do you understand and acknowledge this requirement of employment? 

Yes No