Official SealDepartment of Budget and Management


#19-002247-0075
Supplemental Questionnaire

Last Name
First Name

 

**Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.**

 


1

Describe your experience compiling data for statistical reports.

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.

2

Describe your experience admitting and discharging patients.

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.

 

3

Describe your experience handling Release of Information (ROI) requests.

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.

4

Describe your knowledge of and/or experience with COMAR and HIPPA.

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.

5

Do you possess a current registration as a Registered Health Information Administrator or as a Registered Health Information Technician by the American Health Information Management Association?  A copy must be attached to your application.

Yes No

Powered by JobAps