Official SealHuman Resource Services Department


#17-1458-01
Supplemental Questionnaire

Last Name
First Name
 

Applicants for this position are required to submit responses to the following supplemental questions.  Your completed responses to the supplemental questionnaire will be evaluated to determine your qualifications and must be completed properly in order to be given full consideration for the next phase in the selection process. Additionally, your responses will also be evaluated and used in the selection process in order to identify the best qualified applicants. 

Responses should be thorough and specific.  A lack of detail and explanation in the supplemental questions and in your application may result in failure or disqualification for this position.  Clarity of expression, content, experience, grammar, spelling and the ability to follow instructions will be considered in the evaluation process.  A resume will not be accepted as a substitute for properly completed responses.

Information provided in your responses to the supplemental questionnaire regarding your employment experiences must also be detailed in the Work Experience section of the application for this recruitment.  Please be sure to list all employers and required information, on your application, especially if you are referencing those employers in your responses to the supplemental questions.

The supplemental questions were designed to elicit your experience as it relates to the current recruitment in order to identify the best qualified candidates for this position.  Only the best and most suitably qualified candidates will be invited to participate in the oral interviews. 

By selecting yes below, you certify your understanding that all applicants who meet minimum qualifications are not guaranteed to move forward in the process.  Do you understand the above statement?

Yes No
1.

Please select how you are qualified for the position of Registered Health Information Coordinator from the options below:

Certification by American Health Information Management Association (AHIMA) as a Registered Health Information Administrator (RHIA).
Eligibility to take accreditation examination for Registered Health Information Administrator (RHIA) given by the American Health Information Management Association (AHIMA). (Eligibility for accreditation is by successful completion of the academic requirements, at the baccalaureate level, of a Health Information Management (HIM) Program accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) or graduate from an HIM program approved by a foreign association with which AHIMA has a reciprocity agreement. Must successfully pass exam within one year of county appointment.
2.

If you qualify for this position via eligibility to take accreditation examination for RHIA, please list (and attach verification of) completed qualifying coursework within the last five years. Verification must include the course title(s), date(s) completed, and the name of the institution(s) where you completed the relevant coursework. NOTE:The online application system is limited to just one attachment.  If you have more than one document you wish to attach, you may want to consider scanning everything into one document, then attaching it.

3.

Please describe the qualifying experience you possess in the areas listed below. For each example of qualifying experience provided, please list the name of your employer, dates of employment, position held:

  • responding to and processing requests and subpoenas for release of medical records
  • researching and interpreting laws and regulations related to medical records and client confidentiality
  • representing an agency in court in regards to medical records requests
  • auditing medical records
  • coding, analysis or other related medical records technical functions
4.

Please describe the qualifying supervisory experience you possess related to the bullet items below.  For each example of qualifying experience provided, please list the name of your employer, dates of employment, and the position held:

  • responding to and processing requests and subpoenas for release of medical records
  • auditing medical records
  • coding, analysis or other related medical records technical functions.
5.

This position requires an individual with a strong leadership disposition. Please briefly describe three effective leadership qualities you feel are important (and why), and describe how you have demonstrated these qualities in current or previous positions you’ve held. 

6.

Registered Health Information Coordinators may be required to code and abstract diagnoses and procedures according to the latest adaptation of the International Classification of Diseases Coding (ICD-9CM or ICD-10CM) classification system.  Please describe your experience using ICD-9CM and/or ICD-10CM coding.  In your response, please include where you gained your experience, the dates of your experience, and your specific responsibility/role.

7.

Please describe a situation in which you had to adjust quickly to a significant change in organization, department, or team priorities.  Describe the changing situation, the actions you took, the result, and how the change affected you.

8.

Registered Health Information Coordinators must be able to work collaboratively with others on a team to reach desired goals.  Please describe a situation requiring you to work with a team in order to solve a problem or achieve a goal.  In your response, be sure to include your role, what challenges you faced, how those challenges were addressed, and whether the goal was successfully achieved.


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