Please take a few minutes to confirm your coding experience. Please only include information about services where you have experience and would be comfortable coding.

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* 1. Candidate Name

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* 2. Email Address:

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* 3. Please select your overall coding experience.

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* 4. Please check the types of coding where you have experience AND would be comfortable coding. Check all that apply.

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* 5. INPATIENT CODING: Please check the types of facilities where you have experience coding Inpatient services. Check all that apply.

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* 6. INPATIENT CODING: Please check the type(s) of specialties in which you have at least 1 year of production coding experience. Check all that apply.

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* 7. Do you have experience writing Inpatient physician queries?

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* 8. OUTPATIENT CODING (Facility): Please check the type(s) of specialties in which you have at least 1 year of production coding experience. Check all that apply.

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* 9. PROFESSIONAL/CLINC OUTPATIENT CODING (Pro-Fee): Please check the type(s) of specialties in which you have at least 1 year of production coding experience. Check all that apply.

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* 10. Do you have coding auditing experience? If so, select the type of charts you are comfortable auditing.

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