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Career Opportunity

Cancer Registrar with CTR (2112 Medical Record Technician)

Recruitment: REF36472X

Published: May 21, 2024


Maggie Gonzalez Diaz -

Apply using SmartRecruiters, the City and County of San Francisco's application portal Learn More

Department: Public Health
Job class: 2112-Medical Record Technician
Salary range: $81,406.00 - $99,008.00
Role type: Permanent Civil Service What does this mean?
Hours: Full-time
Exam type: Class Based Test
Rule: Contact us for more information
List type: Combined Promotive and Entrance


The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status. 

  • Application Opening –Thursday, March 21, 2024 
  • Application Deadline – Interested applicants are encouraged to apply immediately as this job ad may close at any time, but not sooner than Thursday, April 4, 2024.
  • Final Close Date: Friday, May 24, 2024.
  • Salary: $81,406 - $99,008 Annually, $39.1375 - $47.6000 hourly. Click here for more information.
  • Appointment TypePermanent Civil Service
  • Recruitment ID: CBT-2112-H00097

The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of two main Divisions - the San Francisco Health Network and Population Health. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. 

Role description

Under general supervision, 2112 Medical Records Technician assists in analyzing, coding and compiling all medical records on patients treated at City and County medical facilities; may assist the medical staff in the selection of cases for specific research projects; supervises clerical staff assigned to the Medical Records Department; and performs related duties as required. Examples of essential duties of this position include but are not limited to:

  • Assists in training and mentoring of assigned clerical personnel; monitors and leads medical records clerks/ clerical personnel by assessing medical records clerical needs, making periodic reviews of the quality and quantity of work performed; assists in workflow development; assists in developing production standards to meet departmental goals; conducting in-service training 
  • Serves as a liaison with medical health care providers, managers and requestors by communicating medical records information in a timely manner; providing orientation and/or responses to medical record functions, procedures and responsibilities; attending meeting as needed; resolving problems as encountered and promoting understanding and cooperation with medical record users 
  • Analyzes medical record deficiencies in accordance with Information Management Standards mandated by JCAHO/Title 22 by scanning the records for appropriate signatures, medical entries, inclusion of proper forms and reports and special audit requests to ensure a complete and concise legal document, timely assignment and tracking physician documentation deficiencies.  
  • Assists in creating new MRN for patients not registered in EPIC 
  • Manage complex efaxes workflow 
  • Codes diseases and medical operations using an encoder and required EHR by using ICD-10-CM, ICD-10-PCS, and CPT as required by the Center for MediCare and MediCaid Services, American Medical Association, State of California, the Joint Commission on the Accreditation of Hospitals Organization, and Title 22 Standards in order to provide information for billing, data, research and retrieval of patients’ records by diagnosis and procedures performed 
  • Process medical records of patients by assembling, analyzing, coding and checking for compliance with established policy on nomenclature and procedures; files charts and assists in the revision of files. 
  • Abstracts information from medical records for statistical indexing and for the preparation of summary reports to official agencies requesting medical information on patients. 
  • Assists medical staff in compiling data for research projects. 
  • When required, prepares hospital records to be taken to court and assumes responsibility for the return of such records to their proper place. 
  • Consults with doctors, nurses and other personnel in order to issue complete, up-to-date and accurate medical records. 

The 2112 Medical Records Technician also performs other related duties as assigned.

How to qualify

One (1) year of experience, within the last five (5) years, performing one of the following duties: abstraction of medical information, coding, or release of medical information; AND

License and Certification:
Possession of a valid Registered Health Information Technician (RHIT) certification; AND

Certification: Some positions require obtaining a valid Certified Tumor Registrar (CTR) credential issued by the National Cancer Registrars Association (NCRA) within 12 months of hire.

Experience Substitution: Possession of a valid Registered Health Information Administrator (RHIA) certification may substitute for the required experience and the RHIT certification.

Important Note: Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. Please be aware that any misrepresentation of this information may disqualify you from this recruitment or future job opportunities. For more information, click here.

What else should I know?

Minimum Qualification Supplemental Questionnaire (MQSQ): Candidates will be required to submit an MQSQ at any point in the recruitment process. This MQSQ is designed to obtain specific information regarding an applicant's experience in relation to the Minimum Qualifications (MQ) for this position. The MQSQ will be used to evaluate if the applicant possesses the required minimum qualifications. Please provide proof of your licenses and certifications by uploading them to your application.

Supplemental Questionnaire Examination: (Weight = 100%): Qualified candidates will be sent a Supplemental Questionnaire (SQ) exam that must be completed by the set date. Candidates will be evaluated on their relative knowledge, skill, and ability levels in job-related areas. A passing score must be achieved on the SQ in order to be placed/ranked on the Eligible List. Candidate responses on the Supplemental Questionnaire cannot be changed once submitted. Candidates will be placed in rank order according to their final score on the SQ. 

Supplemental Questionnaire will be evaluated in relations to the knowledge, skills and abilities required for this class which may include, but are not limited to: Knowledge of ability to lead and assist in planning and organizing clerical activities; knowledge of problem solving and decision-making processes; ability to analyze and abstract medical information; Knowledge of coding procedures; Knowledge of legal provisions governing medical record practices; knowledge of clerical procedures; oral communication ability ability to read and write; ability to work independently; ability to identify, describe, and use HIM related software applications. 

Candidates must achieve a passing score on the Supplemental Questionnaire Exam in order to continue in the selection process and will be placed on the confidential eligible list in rank order according to their final score.

Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.

The certification rule for the eligible list resulting from this examination will be the Rule of Three Scores.

Eligible List/Score Report:
Once you pass the exam, you will be placed onto an eligible list and given a score and a rank. For more information, visit

The duration of the eligible list resulting from this examination process will be six months and may be extended with the approval of the Human Resources Director.

How to apply:

Applications for City and County of San Francisco jobs are only accepted through an online process. Visit and begin the application process. 

Our e-mail communications may come from more than one department so please make sure your email is set to accept messages from all of us at this link. 

Applicants may be contacted by email about this recruitment therefore, it is their responsibility to contact the Analyst if they update their email address. 

Applicants will receive a confirmation email that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records. Failure to receive this email means that the online application was not submitted or received.

Terms of Announcement and Appeal Rights:
Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations. [Note: The correction of clerical errors in an announcement may be posted on the Department of Human Resources website at The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S Van Ness Avenue, 4th Floor, San Francisco, CA 94103-5413 by close of business on the 5th business day following the issuance date of this examination announcement. Information concerning other Civil Service Commission Rules involving announcements, applications and examination policies, including applicant appeal rights, can be found on the Civil Service Commission website at  

DPH Health Critical Requirements and Information: Please review the following policies regarding DPH employment requirements that safeguard yourself and others. 

Additional information regarding Employment with the City and County of San Francisco: 

If you have any questions regarding this recruitment or application process, please contact the analyst, or 628-271-6834. 

We may use text messaging to communicate with you on the phone number provided in your application. The first message will ask you to opt in to text messaging.

CONDITION OF EMPLOYMENT:  All City and County of San Francisco employees are required to be fully vaccinated against COVID-19 as a condition of employment. Someone is fully vaccinated when 14 days have passed since they received the final dose of a two-shot vaccine or a dose of a one-shot vaccine. Any new hire must present proof of full vaccination status to be appointed. Any new hire who will be routinely assigned or occasionally enter High-Risk Settings, must provide proof of having received a COVID-19 booster vaccine by March 1, 2022, or once eligible.

The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.