First Name

Last Name

Email

Company

Job title

Job Responsibilities C-Suite/SVP/VP Managers Specialists Other

Specify your role C-Suite SVP VP of Revenue Cycle VP (other)

Specify your role HIM Director Coding Manager Coding Supervisor Cancer Registry Manager Trauma Registry Manager CDI Director/Manager Audit/Compliance Manager Education Manager Case Mgmt/Utilization Review Manager

Specify your role Medical Coder Cancer Registrar Trauma Registrar Clinical Documentation Specialist Auditor/Compliance Specialist Educator Case Mgmt/Utilization Review Specialist

Phone Number

State/Province In Which Your Organization Resides AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Which free educational webinar are you interested in attending for CEU credits? Monthly Coding Webinar Tumor Talk Webinar Both Not Interested

How Can We Help You? I want to join webinar distribution listI am interested in job opportunitiesI am interested in purchasing services (coding, registry, CDI, audit and other)I don't need any help right now.

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