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    Name *

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    I am interested in

    Full TimePart TimePRN

    Current Certifications: (Hold down "ctrl" key to make multiple selections)

    ICD-10 Trained:

    yesno

    If yes through which program:

    Do you have a certificate of completion:

    yesno

    HIM Management Experience:

    yesno

    Coding Management Experience:

    yesno

    Coding Audit Experience:

    yesno

    Coding Systems Experience: (Hold down "ctrl" key to make multiple selections)

    Patient Type Experience: (Hold down "ctrl" key to make multiple selections)

    Ability to Travel:

    Remote Work Experience:

    yesno

    Hourly Rate Desired

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