Health Information Management Job Duties Checklist Form
Health Information Management Job Duties Checklist Form – Track completion of core Health Information Management duties efficiently and clearly.
Name of Person Completing This Checklist
*
First Name
Last Name
Date of Checklist Completion
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Core Job Duties
Were all assigned duties completed?
*
Yes
No
If any duties were not completed, please specify which ones and why.
Additional Comments or Notes
Submit Checklist
Should be Empty: