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EMPLOYEE ENROLLMENT PROCEDURE
This begins the process of free enrollment in our employee database. You will be asked to complete a form that will advise potential employers about your background and skills along with some preferred employment options.
General Information
Name:
Address:
City:
State:
Country:
Zip/Postal:
Home Phone:
Work Phone:
E-Mail:
Make A Password:

Since this is an Internet Site and we utilize an automatic E-Mail notification system, you must enter an e-mail address.
Best Contact Method:
Best Contact Time:
NOTE: IMPORTANT INPUT FOR SECURITY


The above information provided in this form will be posted on the Internet and is only available to the registered employers. By selecting the OPEN option, you are giving permission to post personal information on this web site and site-subscribers (employers) will have access to these profiles. OPEN profiles are the easiest for employers to act upon; however, if you are concerned about security or the possibility that your current employer may see your profile, select the BLIND option. The BLIND option will post your profile without the above information and identify you by an ID number only. You will be notified by medicalcodingjobs.com if any employer makes a request for you by Employee ID number. Medicalcodingjobs.com will make every effort to contact you with the details regarding the requesting employer. Once we have your permission, we will contact the employer with your information or have you contact them directly.
OPEN   BLIND
Position Requested:
Preferred Work Schedule: Full Time Part Time Job Share Open/Any
Willing to Relocate:
Source of Referral:
Other (Please Describe):
Specific Information
Your Diploma/Degree/Certification Completed or Job Title:
(Select all that apply - Use Control Key + Selections)
List other degrees and/or certifications not mentioned above. Include name, year and
location of school or state where degree/certification(s) obtained:
List other experiences, skills or qualifications applicable:

Provide a brief description of related educational classes/seminars attended in last 12 months:

Previous Coding Positions held:

References:

Comments:
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