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Medical Coding Interview QA Freshers

The document provides a set of interview questions and answers related to medical coding, aimed at freshers. It covers key concepts such as types of codes (ICD, CPT, HCPCS), the difference between ICD and CPT, and essential skills for medical coders. Additionally, it addresses practices like upcoding and downcoding, and the process for handling coding errors.

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Shafana begam
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1K views2 pages

Medical Coding Interview QA Freshers

The document provides a set of interview questions and answers related to medical coding, aimed at freshers. It covers key concepts such as types of codes (ICD, CPT, HCPCS), the difference between ICD and CPT, and essential skills for medical coders. Additionally, it addresses practices like upcoding and downcoding, and the process for handling coding errors.

Uploaded by

Shafana begam
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 Questions & Answers for Freshers

Q: What is Medical Coding?

A: Medical coding is the process of translating healthcare diagnoses, procedures, services, and equipment

into universal medical alphanumeric codes. These codes are taken from medical record documentation and

help in billing and insurance claims.

Q: What are the different types of codes used in medical coding?

A: The main types of codes are:

- ICD: Used for diagnoses

- CPT: Used for procedures and services

- HCPCS: Used for equipment, drugs, and non-physician services

- DRG: Used for inpatient billing

Q: What is ICD-10?

A: ICD-10 stands for the 10th revision of the International Classification of Diseases. It is used to code and

classify diseases and a wide variety of signs, symptoms, and causes.

Q: What is CPT coding?

A: CPT stands for Current Procedural Terminology. It includes 5-digit numeric codes used to report medical,

surgical, and diagnostic procedures and services.

Q: What is the difference between ICD and CPT codes?

A: ICD codes are for diagnoses, while CPT codes are for procedures and services.

Q: What is HCPCS?

A: HCPCS (Healthcare Common Procedure Coding System) includes:

- Level I: CPT codes

- Level II: Alphanumeric codes for non-physician services.

Q: What skills are needed to be a good medical coder?


A: Knowledge of anatomy, physiology, medical terminology, attention to detail, understanding of coding

guidelines, and ability to use EMR software.

Q: What is upcoding and downcoding?

A: Upcoding: Assigning codes for higher reimbursement than actual service (fraud).

Downcoding: Assigning lower codes, which may lead to underpayment.

Q: What is a superbill?

A: A superbill is a detailed form listing services provided and codes used, helping in submitting claims.

Q: How do you handle a coding error?

A: Identify and verify the error, correct it using official guidelines, inform the provider if needed, and re-submit

the claim with documentation.

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