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Medical Coding Interview QA For Freshers | PDF
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Medical Coding Interview QA For Freshers

The document is a Q&A format interview guide for freshers in medical coding, covering essential topics such as coding systems (ICD-10-CM, CPT, HCPCS), handling insufficient documentation, and understanding upcoding and downcoding. It also addresses practical scenarios like claim denials and staying updated with coding regulations. Additionally, it highlights the importance of HIPAA compliance and familiarity with coding software.

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Minha Khan
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460 views2 pages

Medical Coding Interview QA For Freshers

The document is a Q&A format interview guide for freshers in medical coding, covering essential topics such as coding systems (ICD-10-CM, CPT, HCPCS), handling insufficient documentation, and understanding upcoding and downcoding. It also addresses practical scenarios like claim denials and staying updated with coding regulations. Additionally, it highlights the importance of HIPAA compliance and familiarity with coding software.

Uploaded by

Minha Khan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Medical Coding Interview Q&A for Freshers

Q: Tell me about yourself and your experience in medical coding.

A: Answer: I am a recent graduate with a certification in medical coding. I have a strong

understanding of ICD-10-CM, CPT, and HCPCS coding systems, and I completed hands-on training

during my coursework and internship.

Q: What is the difference between ICD-10-CM, CPT, and HCPCS codes?

A: Answer: ICD-10-CM is used for diagnoses, CPT codes are for procedures and services, and

HCPCS codes cover services and equipment not included in CPT, like ambulance services.

Q: How do you handle a situation where documentation is insufficient for coding?

A: Answer: As a fresher, I would consult my supervisor or experienced coder and, if appropriate,

query the physician for clarification following the guidelines taught during training.

Q: Can you explain upcoding and downcoding?

A: Answer: Upcoding means assigning a more serious code than the documentation supports, and

downcoding means using a less severe one. Both are inaccurate and can cause issues with

reimbursement and compliance.

Q: What modifiers do you commonly use in CPT coding?

A: Answer: Common modifiers include -25 for a significant, separate E/M service and -59 for a

distinct procedural service. These were covered extensively during my training.

Q: What is the difference between inpatient and outpatient coding?

A: Answer: Inpatient coding involves ICD-10-CM and ICD-10-PCS for full hospital stays, while

outpatient coding uses ICD-10-CM and CPT/HCPCS for same-day or clinic visits.

Q: What would you do if a claim was denied due to incorrect coding?

A: Answer: I would analyze the reason for denial, verify the documentation and codes, and seek
guidance from a senior coder or mentor to make necessary corrections.

Q: How do you stay updated with changes in coding regulations?

A: Answer: I follow updates from AAPC and AHIMA, participate in webinars, and review coding

newsletters and online forums regularly.

Q: What coding software or tools are you familiar with?

A: Answer: I was trained on encoder tools like 3M and had exposure to basic EHR systems during

my internship.

Q: How do you ensure compliance with HIPAA in your work?

A: Answer: I always maintain confidentiality of patient data, follow secure login protocols, and avoid

discussing patient information in unauthorized settings.

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