Medical coders play a vital role in healthcare by converting physician reports into standardized medical codes. These codes are essential for insurance claims, research, and maintaining accurate patient records. Medical coders collaborate with healthcare professionals, insurers, and patients to ensure the proper handling and processing of medical bills.
Aspiring medical coders can greatly benefit from familiarizing themselves with common interview questions in the field. Preparing with these questions can help demonstrate your knowledge, interest, and aptitude for medical coding during job interviews. Here are some typical interview questions for medical coding that can help you prepare and succeed in your job search.
Table of Contents
List of Medical Coding Interview Questions and Answers
1. Introduce yourself
Self Introduction Template:
Thank you for giving me this opportunity.
Hi Sir/Mam,
Good Morning ( /Time)
I am —— from——(your place). I’ve been in the healthcare industry for over —-years, specializing in medical coding and documentation. I have worked in (company/s )—— as ——- (position/s). I have done my degree/(qualification ) in —— from ——–( College /University). I am passionate about medical coding and would like to contribute more in this field . I would be happy to work as ——–( position which you applied ) in your organization.
Thank you.
2. What is medical coding?
Medical coding turns health diagnoses and treatments into codes. It takes details from doctors’ notes and test results, picks the right codes, and uses them for insurance claims. This helps doctors get paid for their services and happens every time someone visits a healthcare provider, keeping records and billing accurate.
3. Why would you choose medical coding?
20 Reasons To Be A Medical Coder
- Stability: Healthcare is a stable industry with consistent demand.
- Diverse Settings: Work in hospitals, clinics, insurance companies, or remotely.
- Career Growth: Opportunities for advancement with experience and certifications.
- Flexibility: Options for part-time, full-time, or remote work.
- In-Demand Skills: Coding expertise is consistently sought after.
- Continuous Learning: Evolving field ensures ongoing skill development.
- Work-Life Balance: Often offers regular hours without extensive overtime.
- Variety in Tasks: Balance between analytical work and documentation.
- Contribution to Healthcare: Essential role in accurate healthcare billing and records.
- Competitive Salaries: Competitive pay rates within the healthcare sector.
- Certification Opportunities: Various certifications for career progression.
- Entry-Level Accessibility: Possibility to start with minimal prior experience.
- Global Opportunities: Skills are transferable across different healthcare systems.
- Remote Work Potential: Many coding jobs allow for remote or telecommuting options.
- Minimal Patient Interaction: Suited for those preferring behind-the-scenes roles.
- Job Security: Constant need for accurate coding despite economic fluctuations.
- Healthcare Insights: Gain insights into medical procedures and terminology.
- Industry Diversity: Opportunity to specialize in various medical fields.
- Professional Networks: Build connections within the healthcare industry.
- Contribution to Quality Care: Ensure accurate records for better patient care.
4. What skills are essential for a medical coder to have?
- Attention to Detail: Accuracy in coding medical records is paramount to ensuring proper billing and patient care documentation.
- Understanding of Medical Terminology, Anatomy, and Physiology: To accurately code procedures and diagnoses, a coder must understand the medical procedures and concepts they are coding.
- Proficiency in ICD-10, CPT, and HCPCS Coding Standards: Knowledge of these coding systems is crucial for assigning the correct codes to diagnoses and procedures.
- Analytical Skills: The ability to interpret and analyze medical records and physician notes to determine the appropriate codes.
- Communication Skills: Effective communication with healthcare professionals to clarify diagnoses or procedures may be necessary.
- Confidentiality and Ethical Conduct: Respect for patient confidentiality and adherence to all applicable health information privacy laws.
- Familiarity with Insurance and Billing Procedures: Understanding the billing cycle and insurance processes can aid in accurate coding and submission of claims.
- Adaptability to Software and EHR Systems: Proficiency with electronic health record (EHR) systems and medical billing software.
- Continuing Education: Medical coding is a dynamic field requiring coders to stay updated with the latest coding guidelines and changes in healthcare regulations.
- Time Management and Organization: The ability to manage workload efficiently while maintaining high-quality coding standards.
5. How can you ensure compliance with coding and billing regulations?
Compliance involves adhering to official coding guidelines, staying up-to-date and accurately reflecting the patients condition and the services provided. Regular audits and ongoing education help ensure compliance.
6. What are the main code set used in medical coding?
ICD-10-CM is used for diagnosis coding which describes the patient’s condition while ICD-10-PCS is used for procedure coding which detail the medical procedures performed.
7. What are the key elements of an E/M level in an outpatient coding?
The key elements are history (that include comprehensive history, detailed history and problem-focused history), examination (that include expanded problem-focused examination, detailed examination and comprehensive examination), and medical decision making [MDM] (that include low, moderate, high complexity)
8. What is DRG (Diagnosis – Related Group) coding and why is it important in healthcare reimbursement?
DRG coding categorizes inpatient staying into groups based on diagnosis and procedures, which determines reimbursement. Accurate DRG coding, is essential for healthcare facilities, to receive appropriate payment.
9. How do you handle a situation where a patient’s medical record contains conflicting information that affects the coding process ?
I would first try to clarify the discrepancies with the healthcare provider. If that’s not possible, I would document the inconsistencies and use my best judgement based on the available information, ensuring that my coding is accurate as possible.
10. How do u stay organised when managing multiple coding tasks and deadlines simultaneously?
I use a combination of tools like coding software, calendar, task list to prioritise and manage my workload efficiently. Staying organised is crucial in meeting deadlines and maintaining accuracy.
11. Who is an established patient?
It is a patient who has received professional services from the same physician or another physician in the same speciality and subspecialty in the same group practices, within the past 3 years.
12. Who is a new patient?
It is a patient who hasn’t received professional services from the same physician or another physician in the same speciality and subspecialty in the same group practices, within the past 3 years.
13. What is the long form of DRG?
Diagnosis – Related Group
14. What is modifier in CPT?
2 character codes that add clarification procedure codes original descriptions, as listed in CPT textbook.
15. What is exclude 1?
It is a note that indicates 2 codes shouldn’t be used together because they represent mutually exclusive condition.
16. What is exclude 2?
It is a note that indicating that while 2 conditions usually shouldn’t be coded together, there are situation where they can coexist.
17. Who is maintaining and updating CPT ?
AMA (American Medical Association)
18. What’s the difference between autograft and allograft?
- Allograft – use tissue from another person’s body
- Autograft – use tissue from a person’s own body·
19. What is the definition of perinatal period in ICD-10-CM?
CPT stands for Current Procedural Terminology. Its primary purpose is to provide a uniform language for describing medical, surgical, and diagnostic services, facilitating communication among healthcare providers, patients, and insurers for billing and documentation purposes.
20. What does CPT stand for, and what is its primary purpose in medical coding?
Compliance involves adhering to official coding guidelines, staying up-to-date and accurately reflecting the patients condition and the services provided. Regular audits and ongoing education help ensure compliance.
21. Can you explain the difference between ICD-10-CM and ICD-10-PCS coding systems?
- ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification): Used for diagnosing diseases and conditions in all healthcare settings. It consists of alphanumeric codes that cover a wide range of health issues.
- ICD-10-PCS (International Classification of Diseases, 10th Revision, Procedure Coding System): Used specifically for inpatient hospital settings to code procedures. It provides detailed and precise codes for surgeries and other procedural interventions.
22. What are the main sections/components of a CPT code?
CPT codes are divided into three categories:
- Category I: Codes for medical procedures and services.
- Category II: Optional tracking codes for performance management.
- Category III: Temporary codes for emerging technologies, services, and procedures.
23. What does “unbundling” mean in the context of medical coding, and why is it important to avoid it?
Unbundling refers to the inappropriate billing practice of breaking down a procedure into its component parts and billing each part separately. This is important to avoid because it can lead to overcharging and is considered fraudulent.
24. What is the purpose of modifiers in medical coding, and can you provide an example of when a modifier might be used?
Modifiers provide additional information about the performed service or procedure without changing the core definition of the CPT code. For example, Modifier 25 is used to indicate that a significant, separately identifiable evaluation and management service was provided by the same physician on the same day as another procedure.
25. What are the main categories of E/M (Evaluation and Management) codes, and how are they distinguished?
The main categories of E/M codes include:
- Office or Other Outpatient Services: For new and established patients.
- Hospital Observation Services: For patients in observation status.
- Hospital Inpatient Services: For patients admitted to the hospital.
- Consultations: For requested opinions or advice.
- Emergency Department Services: For unscheduled visits to the ER.
- Nursing Facility Services: For patients in nursing homes or long-term care.
- Home Services: For patients receiving care at home.
These categories are distinguished by the setting of the service and the patient’s status (e.g., new vs. established).
26. Can you briefly explain the purpose of the “Place of Service” (POS) codes in medical billing?
POS codes identify the location where services are provided, which helps determine the appropriate reimbursement rates and ensures accurate billing. For example, POS code 11 is for office visits, while POS code 21 is for inpatient hospital services.
27. What is the difference between a “principal diagnosis” and “secondary diagnosis” in medical coding?
- Principal Diagnosis: The main condition that prompted the patient’s admission to the hospital or encounter.
- Secondary Diagnosis: Additional conditions that coexist at the time of admission or develop subsequently, affecting patient care during the stay.
28. What is the role of HCPCS Level II codes, and when are they typically used in medical coding?
HCPCS Level II codes cover products, supplies, and services not included in CPT codes, such as durable medical equipment (DME), prosthetics, and medications. They are typically used in outpatient settings for billing Medicare and Medicaid.
29. Can you explain the concept of “upcoding” and why it is considered unethical and illegal in medical coding?
Upcoding involves billing for a more severe diagnosis or more extensive procedure than what was actually performed, leading to higher reimbursement. It is unethical and illegal because it constitutes fraud and abuse of the healthcare system, resulting in financial loss for payers and increased costs for patients.
30. What are the steps followed in RCM?
Revenue Cycle Management (RCM) involves the following steps:
- Patient Registration: Collecting and verifying patient information.
- Insurance Verification: Confirming coverage and eligibility.
- Service Documentation: Recording provided services.
- Charge Capture: Coding services accurately.
- Claim Submission: Sending claims to payers.
- Remittance Processing: Handling payments from insurers.
- Denial Management: Addressing rejected or denied claims.
- Patient Collections: Billing patients for their share of costs.
31. Distinguish between HCPCS LEVEL I and HCPCS LEVEL II.
- HCPCS Level I: Identical to CPT codes, covering medical procedures and services.
- HCPCS Level II: Covers non-physician services, products, and supplies not included in Level I, such as DME and ambulance services.
32. What are default codes? Explain with any example.
Default codes are used when a condition is stated without further specification or when it is the most commonly associated with a condition. For example, in ICD-10-CM, the default code for hypertension is I10 if no further detail is provided.
33. Define the following terms related to insurance and claim submission:
- Premium: The amount paid for an insurance policy.
- Coverage: The range of medical services and treatments an insurance policy includes.
- Annual coverage amount or annual coverage limit: The maximum amount an insurer will pay for covered services in a year.
- Eligibility verification: Confirming a patient’s insurance coverage and benefits before services are provided.
- Plans: Different levels of insurance coverage offered, varying in premium, coverage, and out-of-pocket costs.
- Network coverage: The group of healthcare providers and facilities that have agreements with an insurer to provide services at negotiated rates.
- Payer: The entity (insurance company or government program) responsible for paying healthcare claims.
- TPA (Third Party Administrator): An organization that processes insurance claims or certain aspects of employee benefit plans for another company.
- Price or price list: The cost of medical services and procedures set by a healthcare provider or insurer.
- Reimbursement: The payment made by the insurance company to the healthcare provider for services rendered
34. How do health insurance policies work?
Health insurance policies work by providing financial coverage for medical expenses incurred by the insured. Policyholders pay premiums, and in return, the insurance company covers a portion of their medical costs, according to the policy’s terms. Coverage typically includes preventive care, treatments, surgeries, and sometimes medications, with specifics varying by plan.
35. What are the general benefits of health insurance?
Health insurance provides several benefits:
- Financial protection: Covers significant portions of medical expenses.
- Access to care: Ensures timely medical treatment.
- Preventive services: Covers screenings and vaccinations.
- Network discounts: Reduces costs through agreements with providers
36. Explain RCM with its steps followed in IP as well as OP.
Inpatient (IP) and Outpatient (OP) RCM follow similar steps but differ in complexity and scope:
- Patient Registration: Collecting patient information.
- Insurance Verification: Confirming coverage.
- Service Documentation: Recording services provided.
- Charge Capture: Accurately coding services.
- Claim Submission: Sending claims to payers.
- Remittance Processing: Handling payments from insurers.
- Denial Management: Resolving denied claims.
- Patient Collections: Billing patients for their share of costs.
37. How many payers does a TPA can have?
A TPA can manage claims for multiple payers, including various insurance companies and employer-sponsored health plans.
38. How many TPA does a payer/insurance company can have?
An insurance company can contract with multiple TPAs to handle different aspects of claims processing and administration.
39. What is the basic difference between provider and insurance provider?
- Provider: A healthcare professional or facility that delivers medical services (e.g., doctors, hospitals).
- Insurance Provider: A company that offers insurance policies and pays for covered healthcare services (e.g., Blue Cross Blue Shield).
40. What is table of benefit in insurance claim?
A table of benefits outlines the coverage details of an insurance plan, specifying what services are covered, to what extent, and under what conditions.
41. Define TPA portal.
A TPA portal is an online platform provided by a Third Party Administrator, allowing healthcare providers and policyholders to manage claims, check eligibility, and access other insurance-related services.
42. What is the difference between patient share and insurance share?
- Patient Share: The portion of medical costs the patient is responsible for, including deductibles, co-pays, and co-insurance.
- Insurance Share: The portion of medical costs covered by the insurance company.
43. What is Co-pay and Co-insurance?
- Co-pay: A fixed amount the patient pays for a covered service at the time of care (e.g., $20 for a doctor’s visit).
- Co-insurance: A percentage of the cost of a covered service the patient pays after meeting the deductible (e.g., 20% of a hospital bill).
44. Which set of numbering does UAE use in dental chart and dental coding?
The UAE uses the FDI World Dental Federation notation for dental charting and coding.
45. What is denial management?
Denial management involves analyzing and addressing reasons for denied insurance claims to ensure proper payment and improve future claim submission processes.
46. What is submission and rejection?
- Submission: Sending a completed claim to an insurance company for payment.
- Rejection: A claim returned by the insurance company due to errors or missing information, requiring correction and resubmission.
47. Name the guideline that is used for dental coding in UAE.
The UAE follows the American Dental Association’s (ADA) Current Dental Terminology (CDT) guidelines for dental coding.
48. Which Emirate uses E/M coding in UAE?
Abu Dhabi uses Evaluation and Management (E/M) coding.
49. Instead of E/M coding, which type of coding is used in other Emirates other than Abu Dhabi?
Other Emirates use procedural coding systems, such as CPT, for documenting medical services.
50. What is EMR?
Electronic Medical Record (EMR) is a digital version of a patient’s paper chart, containing medical history, diagnoses, medications, treatment plans, immunization dates, and test results.
51. Explain your experience in previous work place.
As an AI, I don’t have personal experiences. However, if you share specific tasks or roles, I can provide insights on how those might be handled in a medical coding or billing context.
52. Give a brief description regarding 2024 updates in coding guidelines.
The 2024 updates in coding guidelines include revisions to E/M documentation requirements, new CPT codes for remote patient monitoring, and updated HCPCS Level II codes for durable medical equipment. Specific changes focus on simplifying documentation, incorporating telehealth advancements, and ensuring accurate coding for new medical technologies.
53. Name any one coding software.
3M Coding and Reimbursement System (CRS) is a popular coding software.
54. What is E-claim?
E-claim is an electronic claim submission system that allows healthcare providers to send claims to insurers digitally, streamlining the billing process and reducing paperwork.
55. Give a short description regarding rehabilitation coding.
Rehabilitation coding involves using specific codes to document physical, occupational, and speech therapy services. These codes reflect the type, duration, and intensity of therapy provided, ensuring accurate billing and reimbursement.
56. Distinguish between IP coding and OP coding.
- IP Coding: Inpatient coding for patients admitted to the hospital, focusing on a comprehensive range of services and detailed procedural codes.
- OP Coding: Outpatient coding for patients receiving care without hospital admission, often involving fewer and more specific codes for procedures and visits.
57. List the series of CPT codes with their respective name.
- 00100-01999: Anesthesia
- 10021-69990: Surgery
- 70010-79999: Radiology
- 80047-89398: Pathology and Laboratory
- 90281-99607: Medicine
- 99201-99499: Evaluation and Management (E/M)
58. What is the difference between PDx and SDx?
- PDx (Principal Diagnosis): The main condition that prompted the patient’s admission or visit.
- SDx (Secondary Diagnosis): Additional conditions affecting patient care during the stay or visit.
59. What are the billing guidelines generally being used in healthcare? Explain with examples.
Healthcare billing guidelines ensure accurate and compliant claims submission:
- Correct coding: Using ICD-10, CPT, and HCPCS codes correctly (e.g., coding for a routine check-up with CPT 99213).
- Documentation: Supporting all billed services with detailed patient records.
- Timely submission: Ensuring claims are submitted within the payer’s deadlines.
- Compliance: Adhering to payer policies and regulations (e.g., Medicare guidelines).
60. State the difference between ICD-10-CM and ICD-10-PCS.
- ICD-10-CM: Used for diagnosis coding in all healthcare settings.
- ICD-10-PCS: Used for procedure coding in inpatient hospital settings.
61. What is the correct CPT code for a routine office visit with an established patient?
The correct CPT code for a routine office visit with an established patient is 99213.
62. How do you report multiple procedures performed during the same surgical session?
Multiple procedures are reported by listing the primary procedure first and using additional codes for secondary procedures. Modifiers (e.g., 51 for multiple procedures) may be used to indicate that more than one procedure was performed.
63. When is modifier 25 used in medical coding, and what does it signify?
Modifier 25 is used to indicate that a significant, separately identifiable evaluation and management service was provided by the same physician on the same day as another procedure. For example, if a patient receives a preventive care visit and also requires treatment for a new issue, modifier 25 is added to the E/M service code.
64. What are the key components of an Evaluation and Management (E/M) service, and how are they documented?
The key components of an E/M service are:
- History: Patient’s medical, family, and social history.
- Examination: Physical examination findings.
- Medical Decision Making: Complexity of diagnosing and treating the patient’s condition. Documentation must support the level of service billed, including details of each component.
65. Explain the difference between ICD-10-CM diagnosis codes and CPT procedure codes.
- ICD-10-CM diagnosis codes: Describe the patient’s condition or disease (e.g., J20.9 for acute bronchitis).
- CPT procedure codes: Describe the medical services and procedures performed (e.g., 31500 for endotracheal intubation).
66. How do you assign E/M levels for outpatient encounters based on documentation guidelines?
E/M levels for outpatient encounters are assigned based on the complexity and extent of the history, examination, and medical decision-making documented. For example, a level 3 visit (99213) typically requires an expanded problem-focused history and examination with low complexity in medical decision-making.
67. What are the main differences between inpatient and outpatient coding?
- Inpatient Coding: Focuses on comprehensive documentation of all services during a hospital stay, using ICD-10-CM and ICD-10-PCS codes.
- Outpatient Coding: Involves coding for services provided without hospital admission, using ICD-10-CM and CPT/HCPCS codes.
68. How are surgical packages defined in CPT coding, and what services do they include?
Surgical packages in CPT coding are defined by global periods (0, 10, or 90 days) and include pre-operative, intra-operative, and post-operative care. For example, a 90-day global surgical package includes the surgery, follow-up visits, and any necessary care related to the surgery within that period.
69. When should you use modifiers in medical coding, and provide examples of commonly used modifiers?
Modifiers should be used to provide additional information about a service or procedure without changing its core definition. Examples include:
- Modifier 25: Significant, separately identifiable E/M service.
- Modifier 59: Distinct procedural service.
- Modifier 50: Bilateral procedure.
70. Explain the purpose and usage of the National Correct Coding Initiative (NCCI) edits in medical coding.
NCCI edits are designed to prevent improper coding and billing by identifying pairs of services that should not be reported together. They help ensure accurate claims submission and prevent overpayments by Medicare and Medicaid.
71. What is the revised ICD-10-CM code for COVID-19 caused by the SARS-CoV-2 virus, effective from January 1, 2024?
The revised ICD-10-CM code for COVID-19 is U07.1.
72. How have the E/M documentation guidelines for office visits been revised for 2024 compared to previous years?
The 2024 E/M documentation guidelines for office visits emphasize medical decision-making (MDM) and time spent on the date of the encounter, reducing the need for extensive documentation of history and examination unless clinically relevant.
73. What are the revised CPT codes for remote patient monitoring services introduced in 2024?
The revised CPT codes for remote patient monitoring services introduced in 2024 include:
- 99453: Remote monitoring of physiologic parameter(s) initial setup and patient education.
- 99454: Remote monitoring of physiologic parameter(s) supply with daily recordings and programmed alerts.
- 99457: Remote physiologic monitoring treatment management services.
74. Are there any new modifiers introduced in 2024, and if so, what are their purposes?
As of 2024, no specific new modifiers have been introduced, but it is always important to check the latest updates from the AMA for any changes in coding and billing practices.
75. What changes have been made to HCPCS Level II codes for durable medical equipment (DME) in 2024?
Changes to HCPCS Level II codes for DME in 2024 include updates to descriptions, the addition of new codes for emerging technologies, and the deletion of obsolete codes to reflect current medical practices and innovations in medical equipment.
76. Duration of Stay for Day Care Claims?
In the UAE, for a medical procedure to be classified as “day care,” the patient’s stay typically lasts between 6 to 8 hours, without requiring an overnight admission.
77. What is GOP (Guarantee of Payment)?
A Guarantee of Payment (GOP) is an authorization issued by the insurance provider to cover specific medical expenses. It ensures that the healthcare provider receives payment directly from the insurer for covered treatments.
78. Deductible vs. Coinsurance
- Deductible: A predetermined flat amount the patient must pay out-of-pocket before the insurance coverage takes effect.
- Coinsurance: A shared cost structure where the patient pays a percentage of the medical bill, while the insurer covers the remaining portion.
79. What are the different types of Insurance in the UAE?
- TPA (Third-Party Administrator): A company that acts as an intermediary, handling claims, approvals, and other administrative tasks on behalf of insurance providers.
- Direct Insurance: Policies offered directly by the insurance company, where claims and processes are managed without involving a TPA.
80. What is the CPT code for a routine gynecological exam, including a Pap smear?
CPT code for a routine gynecological exam with a Pap smear is often 99395 (for patients aged 18-39) or 99396 (for patients aged 40-64), with additional codes like Q0091 for the Pap smear collection.
81. What ICD-10 code is used for routine gynecological examination?
The ICD-10 code for a routine gynecological examination is Z01.419 (Encounter for gynecological examination [general] [routine] without abnormal findings).
82. Which CPT code is used for a laparoscopic assisted vaginal hysterectomy?
The CPT code for a laparoscopic assisted vaginal hysterectomy (LAVH) can be 58550 for uterus 250 g or less or 58552 for uterus greater than 250 g.
83. What ICD-10 code corresponds to endometriosis of the ovary?
The ICD-10 code for endometriosis of the ovary is N80.1.
84. Which CPT code should be used for a colposcopy with biopsy of the cervix?
The CPT code for a colposcopy with biopsy of the cervix is 57455.
85. What ICD-10 code is used for polycystic ovarian syndrome (PCOS)
The ICD-10 code for polycystic ovarian syndrome is E28.2
86. Which CPT code is used for an endometrial biopsy?
The CPT code for an endometrial biopsy is 58100
87. What ICD-10 code is used for postmenopausal bleeding?
The ICD-10 code for postmenopausal bleeding is N95.0.
88. Which CPT code is used for a hysteroscopy with endometrial ablation?
The CPT code for a hysteroscopy with endometrial ablation is 58563.
89. What is the waiting period in health insurance?
The waiting period in health insurance refers to the specified time frame after the policy is issued during which certain medical conditions or treatments are not covered. In the UAE, this period typically applies to pre-existing conditions, maternity benefits, and specific treatments. The duration varies depending on the insurer and the policy.
90. What ICD-10 code is used for uterine fibroids?
The ICD-10 code for uterine fibroids is D25.9 (Leiomyoma of uterus, unspecified)
40 Common Medical Billing Multiple Choice Questions and Answers
1. What is the purpose of CPT codes in medical coding?
- To report diagnoses
- To report procedures and services
- To report patient demographics
- To report insurance information
2. Which organization oversees the ICD-10-CM coding system in the United States?
- American Medical Association (AM
- Centers for Medicare & Medicaid Services (CMS)
- World Health Organization (WHO)
- American Health Information Management Association (AHIM)
3. When coding for a patient’s office visit, which section of the CPT manual would you typically refer to?
- Evaluation and Management (E/M)
- Surgery
- Radiology
- Pathology and Laboratory
4. A patient undergoes a knee replacement surgery. Which type of code would you use to report this procedure?
- ICD-10-CM code
- CPT code
- HCPCS Level II code
- ICD-10-PCS code
5. What is the primary purpose of adding modifiers to CPT codes?
- To indicate the patient’s age
- To provide additional information or clarify circumstances
- To specify the location of the service
- To identify the provider’s specialty
6. A patient receives an injection of corticosteroids into both knees. What modifier would you append to the CPT code to indicate this?
- -50
- -RT and -LT
- -59
- -25
7. Which type of code is used to report durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS)?
- CPT codes
- ICD-10-CM codes
- HCPCS Level II codes
- ICD-10-PCS codes
8. What does the acronym E/M stand for in medical coding?
- Evaluation and Management
- Emergency Medicine
- Experimental Medicine
- Endoscopic Management
9. A patient is diagnosed with pneumonia. Which coding system would you use to report this diagnosis?
- CPT
- HCPCS
- ICD-10-CM
- ICD-10-PCS
10. What is the role of the National Correct Coding Initiative (NCCI)?
- To oversee the implementation of ICD-10 codes
- To identify and prevent improper coding practices
- To develop new CPT codes
- To provide training for medical coders
11. Which of the following code sets is used for reporting procedures and services in healthcare?
- ICD-10-CM
- CPT
- HCPCS Level II
- ICD-10-PCS
12. A patient underwent an appendectomy. Which CPT code should be used for reporting this procedure?
- 44950
- 44970
- 144955
- 44960
13. What is the correct HCPCS Level II code for a knee brace with adjustable flexion and extension?
- L1820
- L1845
- L1830
- L1832
14. In ICD-10-CM, which code range is used for diseases of the circulatory system?
- I00-I99
- S00-T88
- A00-B99
- J00-J99
15. A patient is diagnosed with type 2 diabetes mellitus with diabetic retinopathy. What is the correct ICD-10-CM code?
- E11.319
- E11.36
- E11.321
- E11.3211
16. What does the CPT modifier -25 indicate?
- Separate procedure
- Significant, separately identifiable evaluation and management service
- Reduced services
- Diagnostic service
17. A patient is admitted for dehydration due to severe vomiting. Which ICD-10-CM code should be used for reporting dehydration?
- E86.0
- E87.1
- E87.70
- E87.6
18. What is the CPT code for a comprehensive metabolic panel?
- 80053
- 80048
- 80061
- 80076
19. Which HCPCS Level II code is used for a routine dental cleaning?
- D1206
- D1110
- D0150
- D0274
20. A patient underwent a total knee replacement using a prosthesis. What is the correct ICD-10-PCS code for this procedure?
- 0SRB0JZ
- 0SRC0JZ
- 0SRD0JZ
- 0SRF0JZ
21. What does the CPT modifier -59 indicate?
- Distinct procedural service
- Modifier for multiple procedures
- Unrelated procedure by the same physician
- Repeat procedure by the same physician
22. Which of the following CPT codes represents a fine needle aspiration biopsy of the thyroid gland?
- 10022
- 10005
- 10030
- 10021
23. What is the correct ICD-10-CM code for bronchial pneumonia due to Streptococcus pneumoniae?
- J15.7
- J15.1
- J18.1
- J18.9
24. Which HCPCS Level II code is used for a nebulizer treatment with a compressor?
- A7005
- E0575
- J7605
- A7003
25. What is the CPT code for a lumbar puncture?
- 62270
- 62272
- 62273
- 62276
26. In ICD-10-CM, what is the code range for injuries, poisoning, and certain other consequences of external causes?
- V00-Y99
- W00-W99
- S00-T88
- T00-T88
27. A patient underwent an arthroscopic meniscectomy of the left knee. What is the correct CPT code for this procedure?
- 29880
- 29871
- 29877
- 29874
28. What does the CPT modifier -51 indicate?
- Multiple procedures
- Unrelated procedure by the same physician
- Bilateral procedure
- Distinct procedural service
29. Which of the following HCPCS Level II codes is used for an ambulance service, conventional air services, basic life support?
- A0428
- A0429
- A0430
- A0431
30. A patient has a malignant neoplasm of the colon. Which ICD-10-CM code should be reported for this condition?
- C18.1
- C18.2
- C18.3
31. What does IP coding stand for in medical coding?
- International Procedure
- Inpatient Procedure
- Interventional Procedure
- Internal Protocol
32. Which of the following is an example of an IP code?
- 99213
- 10021
- 43200
- 56789
33. What type of procedures are typically coded using IP codes?
- Surgical procedures
- Diagnostic tests
- Office visits
- Emergency room services
34. Which section of the CPT manual contains the IP codes?
- Evaluation and Management
- Surgery
- Radiology
- Pathology
35. How many digits does an IP code typically have?
- 4 digits
- 5 digits
- 6 digits
- 7 digits
36. What is the main difference between IP codes and CPT codes?
- IP codes are for inpatient procedures, while CPT codes are for outpatient procedures
- IP codes are for surgical procedures, while CPT codes are for medical procedures
- IP codes are for diagnostic tests, while CPT codes are for therapeutic procedures
- IP codes are for emergency room services, while CPT codes are for office visits
37. Which of the following procedures would be coded using an IP code?
- Removal of a cast
- Repair of a wound
- Insertion of a pacemaker
- Administration of a vaccine
38. What is the purpose of IP coding in medical billing?
- To determine the patient’s diagnosis
- To determine the patient’s treatment plan
- To determine the patient’s insurance coverage
- To determine the reimbursement for a procedure
39. Which organization is responsible for maintaining the IP coding system?
- American Medical Association (AMA)
- Centers for Medicare and Medicaid Services (CMS)
- World Health Organization (WHO)
- National Center for Health Statistics (NCHS)
40. How often are IP codes updated?
- Annually
- Biannually
- Quarterly
- Monthly
15 Interview Tips For Medical Coders
- Know Your Stuff: Ensure you have a thorough understanding of medical coding systems (ICD-10-CM, ICD-10-PCS, CPT) and stay updated on coding guidelines and regulations.
- Research the Company: Understand the company’s services, values, and coding practices. Familiarize yourself with their specific needs and challenges.
- Resume Ready: Have an updated resume highlighting your coding experience, certifications, and relevant skills. Tailor your resume to the job description.
- Practice Common Interview Questions: Prepare answers for common interview questions related to medical coding, compliance, and your problem-solving abilities.
- Dress Appropriately: Wear formal attire in neutral colors. For men, this means a neatly ironed shirt and trousers; for women, a professional dress or a blouse with pants or a skirt.
- Attend Mock Interviews: Participate in mock interviews to build confidence and get constructive feedback.
- Be Punctual: Arrive at least 15 minutes early to the interview.
- Show Enthusiasm: Express your passion for medical coding and your eagerness to contribute to the company.
- Clarify Doubts: Ask questions about the role, the team, and the company’s coding practices to show your interest.
- Highlight Certifications: Mention relevant certifications (e.g., CPC, CCS) and how they have prepared you for the role.
- Stay Positive: Maintain a positive attitude, even when discussing past challenges or setbacks.
- Highlight Soft Skills: Emphasize your attention to detail, problem-solving skills, and ability to work independently and as part of a team.
- Showcase Accuracy: Provide examples of how you ensure accuracy in coding and billing.
- Be Tech Ready: Demonstrate your proficiency with coding software and any other relevant technology.
- Follow Up Gracefully: Send a thank-you email after the interview, reiterating your interest in the position.
Things to Carry for Medical Coding Interview in UAE
- Resume
- High School or Diploma certificate, Marksheet
- Graduation/ Post graduation Marksheet and certificate
- All types of ID proof including birth certificate
- Medical coding certificate
- CPC certificate
- Experience certificate
- Passport, Emirates ID etc
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When we have conflicting documentation, we have the process of physician query. That is the first thing if we have conflicting documentation. And not analysing and confirming according to Coder position. If the physician is not concluding the final judgement, need to get the signed consent from physician for that chart inorder to avoid physician – Coder interaction.
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