50+ Regimen Healthcare Interview Questions and Answers

I have technical certifications in medical coding and am proficient in various programming languages and operating systems.

• I am certified in medical coding through AAPC or AHIMA.

• I am proficient in programming languages such as Java, Python, and SQL.

• I am comfortable working with various operating systems such as Windows, Linux, and MacOS.

• My technical expertise includes medical coding, data analysis, and software development.

Medical coding is the process of assigning codes to medical diagnoses and procedures for billing and record-keeping purposes.

• Medical coding involves translating medical terminology into standardized codes.

• These codes are used for billing purposes, to ensure accurate reimbursement for medical services.

• Medical coders must have knowledge of anatomy, physiology, and medical terminology.

• Examples of coding systems include ICD-10-CM for diagnoses and CPT for procedures.

• Medical codin...read more

Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider.

• It involves coding medical procedures and diagnoses using standardized codes

• It requires knowledge of insurance policies and regulations

• It includes verifying patient information and eligibility for coverage

• Examples of medical billing software include Epic and Cerner

• Medical billing can be done in-house...read more

Filters are used to limit the data displayed in a visualization. There are different types of filters in Tableau.

• Types of filters include: dimension filters, measure filters, context filters, table calculation filters, and extract filters.

• Dimension filters limit the data based on specific dimensions, such as date or region.

• Measure filters limit the data based on specific measures, such as sales or profit.

• Context filters create a temporary table that can improve performance by...read more

ICD 10 CM is the International Classification of Diseases, Tenth Revision, Clinical Modification.

• ICD 10 CM is a coding system used by medical coders to classify and code diagnoses, symptoms, and procedures.

• It provides a standardized way to communicate and analyze health information.

• ICD 10 CM codes are alphanumeric and contain up to seven characters.

• Examples of ICD 10 CM codes include S72.001 (Fracture of the neck of the right femur) and J45.901 (Unspecified asthma, uncomplica...read more

SLA stands for Service Level Agreement and SOPs stands for Standard Operating Procedures.

• SLA is a contract between a service provider and a customer that outlines the level of service expected.

• SOPs are step-by-step instructions for performing a specific task or process.

• Previous process's SLA refers to the agreed-upon level of service for a previous process.

• SLAs and SOPs are important for ensuring consistency and quality in service delivery.

• Examples of SLAs include response ti...read more

A set of medical questions related to medical terminology, anatomy, and physiology.

• Ectomy refers to the surgical removal of a body part or organ, such as appendectomy (removal of the appendix) or mastectomy (removal of the breast).

• Cholelithiasis is the formation of gallstones in the gallbladder.

• The brain is responsible for controlling and coordinating all bodily functions, including movement, sensation, thought, and emotion.

• Antepartum refers to the period of time before child...read more

Tableau supports various data types including string, integer, float, date, boolean, and geographic data.

• String: text data

• Integer: whole numbers

• Float: decimal numbers

• Date: date and time data

• Boolean: true/false data

• Geographic: latitude and longitude data

• Examples: 'John Smith' (string), 25 (integer), 3.14 (float), 01/01/2021 (date), true (boolean), (latitude, longitude) (geographic)

I have implemented process improvement plans in my previous roles resulting in increased efficiency and cost savings.

• Implemented Lean Six Sigma methodologies resulting in a 20% reduction in production time

• Introduced automation tools resulting in a 30% reduction in manual errors

• Conducted regular process audits and made necessary changes resulting in a 15% increase in customer satisfaction

Aggregation is the process of combining data into a summary form, while disaggregation is the opposite, breaking down summary data into its individual components.

• Aggregation involves grouping data and performing calculations on the grouped data.

• Disaggregation involves breaking down summary data to reveal the individual data points.

• Aggregation is useful for analyzing trends and patterns at a higher level.

• Disaggregation is useful for exploring detailed data and identifying outl...read more

Ed code range refers to the range of codes used to classify emergency department visits.

• Ed code range typically includes codes from E/M codes 99281-99285 for emergency department visits.

• These codes are used to classify the level of care provided during the visit.

• The codes take into account factors such as complexity of the presenting problem, amount of time spent with the patient, and the level of decision making involved.

In Tableau, discrete and continuous are two types of data that can be used to categorize and analyze information.

• Discrete data consists of distinct, separate values that cannot be measured or divided further.

• Examples of discrete data in Tableau include categories like product names, customer segments, or regions.

• Continuous data represents measurements or values that can be divided infinitely and can take on any value within a range.

• Examples of continuous data in Tableau inclu...read more

Yes, I have previous EMR and EHR exposure and familiarity.

• I have worked with various EMR and EHR systems such as Epic, Cerner, and Allscripts.

• I am familiar with the functionalities of these systems such as patient charting, medication management, and order entry.

• I have experience training and supporting staff on the use of these systems.

• I stay up to date with industry changes and updates to these systems.

ICD-10 updates are regular and necessary to keep up with medical advancements and changes in healthcare practices.

• ICD-10-CM codes were updated on October 1, 2021

• New codes were added for COVID-19 related conditions

• Codes were added for vaping-related disorders

• Codes were added for social determinants of health

• Codes were added for maternal care and mental health

• Codes were added for substance abuse disorders

• Codes were added for post-COVID-19 conditions

• Codes were added for teleheal...read more

Context filters can slow down performance and limit interactivity.

• Context filters create a temporary table that affects the performance of the workbook.

• Using multiple context filters can further degrade performance.

• Context filters limit the interactivity of other filters and actions.

• Context filters may not work well with certain data sources or complex calculations.

• Removing or modifying context filters requires re-computation of the entire context.

Fracture care is coded using CPT codes based on the type of treatment provided.

• Assign a CPT code for initial encounter, subsequent encounter, or sequela based on the stage of treatment

• Use additional codes for any procedures performed during the fracture care

• Assign a separate diagnosis code for the specific type of fracture

• Document the type of fracture, location, and any complications for accurate coding

One system commonly used in medical coding is the ICD-10 system.

• ICD-10 system is used to classify and code diseases, symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases.

• CPT (Current Procedural Terminology) codes are used to report medical procedures and services performed by healthcare providers.

• HCPCS (Healthcare Common Procedure Coding System) codes are used for Medicare and Medicaid claims.

• Medical coders also use electron...read more

The system I am familiar with is the Electronic Health Record (EHR) system used in healthcare facilities.

• EHR systems are used to store patient medical records electronically

• They allow healthcare providers to access patient information quickly and securely

• EHR systems can also help with billing, scheduling, and decision-making processes

• Examples of EHR systems include Epic, Cerner, and Allscripts

The systems of the human body are the different groups of organs and tissues that work together to perform specific functions.

• The circulatory system transports oxygen, nutrients, and waste products throughout the body.

• The respiratory system is responsible for the exchange of gases, such as oxygen and carbon dioxide.

• The digestive system breaks down food and absorbs nutrients.

• The nervous system controls and coordinates body functions.

• The musculoskeletal system provides support,...read more

The latest version of Tableau is 2021.3.

• 2021.3 was released on September 14, 2021.

• New features include improved data modeling capabilities and enhanced analytics.

• Previous versions include 2021.2, 2021.1, and 2020.4.

Coders use ICD-10-CM codes to document a patient's chief complaint (Cc) in medical records.

• Assign the appropriate ICD-10-CM code based on the patient's reported chief complaint

• Ensure the code accurately reflects the reason for the patient's visit

• Review documentation thoroughly to capture all relevant details for coding

• Example: If a patient presents with chest pain, assign the appropriate ICD-10-CM code for chest pain

KPI and KRA of a Team Lead

• KPIs: Team productivity, quality of work, meeting deadlines, employee satisfaction

• KRAs: Team development, process improvement, communication, goal setting

• Examples: Increase team productivity by 10%, reduce errors by 5%, improve employee satisfaction by 15%

• Examples: Develop training program for team members, implement new project management tool, conduct regular team meetings

The cardiovascular system (CVS) consists of the heart, blood vessels, and blood, responsible for transporting nutrients, oxygen, and waste products throughout the body.

• The heart pumps blood through the blood vessels to deliver oxygen and nutrients to cells and remove waste products.

• Blood vessels include arteries, veins, and capillaries, each with specific functions in circulation.

• Physiology of CVS involves the cardiac cycle, blood pressure regulation, and control of blood flo...read more

There are significant growth opportunities in the future for Certified Medical Coders.

• The demand for Certified Medical Coders is expected to increase due to the growing healthcare industry.

• Advancements in technology and electronic health records will create new opportunities for coders.

• Certified Medical Coders can specialize in specific areas such as anesthesia, cardiology, or orthopedics.

• Coders can pursue higher education and certifications to enhance their career prospects....read more

Ed coding cpt procedures involves assigning appropriate CPT codes to procedures performed in the emergency department.

• Understand the CPT code set and guidelines for accurate coding.

• Assign codes based on documentation of procedures performed.

• Take into consideration any modifiers that may be necessary for accurate coding.

• Stay updated on changes in CPT codes and guidelines.

• Examples: Assigning CPT code 99284 for a comprehensive ED visit, or 31500 for endotracheal intubation.

The Mdm table is used in medical coding to document the complexity of a patient's medical decision-making.

• The Mdm table stands for Medical Decision Making and is used to determine the level of complexity in a patient's case.

• It includes factors such as the number of diagnoses or management options, the amount and complexity of data reviewed, and the risk of complications or morbidity.

• Each factor is assigned a score, and the total score determines the level of MDM (Minimal, Low...read more

Data visualization is the graphical representation of data to help understand patterns, trends, and insights.

• Data visualization uses charts, graphs, and maps to present data visually.

• It helps in identifying patterns, correlations, and outliers in data.

• Examples include bar charts, line graphs, scatter plots, and heat maps.

HMO and PPO are types of health insurance plans.

• HMO stands for Health Maintenance Organization and is a type of managed care plan where you choose a primary care physician who coordinates all your healthcare needs.

• PPO stands for Preferred Provider Organization and is a type of managed care plan where you have more flexibility in choosing healthcare providers, but may pay more for going out of network.

• HMOs typically have lower out-of-pocket costs but less flexibility in choosi...read more

A mutual fund is a type of investment vehicle made up of a pool of money collected from many investors to invest in securities.

• Mutual funds are managed by professional fund managers

• Investors buy shares in the mutual fund and the value of those shares increases or decreases based on the performance of the underlying securities

• Mutual funds offer diversification and liquidity

• Types of mutual funds include equity funds, bond funds, and money market funds

ADDS stands for Active Directory Domain Services.

• ADDS is a Microsoft service that provides centralized authentication and authorization for Windows-based computers.

• It allows administrators to manage users, computers, and other resources in a network environment.

• ADDS is a key component of Microsoft's Active Directory technology.

• It is used to create and manage domains, domain controllers, and other directory objects.

• ADDS also provides features such as group policy management, L...read more

Tableau is more user-friendly and has better visualization capabilities than QlikView.

• Tableau has a more intuitive drag-and-drop interface

• Tableau has a wider range of visualization options

• Tableau has better integration with other data sources

• QlikView has better data modeling capabilities

• QlikView has better performance with large datasets

The largest organelle of the cell is the nucleus.

• The nucleus is the control center of the cell and contains the cell's genetic material.

• It is surrounded by a double membrane called the nuclear envelope.

• The nucleus plays a crucial role in cell growth, metabolism, and reproduction.

• Examples of cells with prominent nuclei include human skin cells and liver cells.

I will handle a process by following a systematic approach and ensuring quality at every step.

• Understand the process requirements and objectives

• Identify key steps and stakeholders involved

• Develop a detailed plan and timeline

• Implement the process according to the plan

• Monitor and measure process performance

• Identify and address any deviations or issues

• Continuously improve the process based on feedback and data

• Ensure documentation and communication of process changes

Authorization and inclusive are important concepts in process management.

• Authorization refers to granting permission or access to certain resources or actions.

• Inclusive means including all necessary parties or elements in a process or decision-making.

• Authorization ensures that only authorized individuals can access sensitive information or perform certain tasks.

• Inclusive processes promote diversity and ensure that all stakeholders are involved in decision-making.

• Examples: Aut...read more

My future plan is to continue developing my skills and knowledge in the field, eventually moving into a leadership role.

• Further education and certifications to enhance expertise

• Seeking opportunities for advancement within the company

• Building strong professional relationships for networking

• Developing leadership skills through mentorship programs

• Exploring new technologies and trends in the industry

AOB stands for Assignment of Benefits in medical billing.

• AOB is a legal document signed by a patient that allows their health insurance benefits to be paid directly to the healthcare provider.

• It helps healthcare providers receive payment for services rendered without the patient having to pay upfront.

• AOB is commonly used in medical billing to streamline the payment process and reduce financial burden on patients.

ABN stands for Advance Beneficiary Notice in medical billing. It is a notice given to Medicare patients when a service may not be covered.

• ABN is used to inform Medicare patients that a service may not be covered by Medicare.

• It allows patients to decide whether to proceed with the service and accept financial responsibility if Medicare denies payment.

• ABN must be signed by the patient before the service is provided.

• Common scenarios where ABN is used include services that are co...read more

KPIs are specific measurable goals, while KRAs are broader areas of responsibility.

• KPIs are Key Performance Indicators that measure specific, quantifiable targets.

• KRAs are Key Result Areas that define the broader responsibilities and outcomes expected.

• KPIs are more focused on individual or team performance, while KRAs are related to overall job responsibilities.

• Example: KPI for a quality team leader could be reducing defect rates by 10%, while KRA could be ensuring overall qu...read more

The medical field is a vast area of study and practice that deals with the diagnosis, treatment, and prevention of diseases and injuries.

• It includes various branches such as cardiology, neurology, oncology, pediatrics, etc.

• Medical professionals such as doctors, nurses, and technicians work in this field.

• Medical research and development are also a part of this field.

• Medical technology and equipment are used for diagnosis and treatment.

• Examples of medical procedures include sur...read more

The parts of the ear include the outer ear, middle ear, and inner ear.

• Outer ear consists of the pinna and ear canal

• Middle ear includes the eardrum and ossicles

• Inner ear contains the cochlea and semicircular canals

Yes, I am currently pursuing my postgraduate degree in Business Administration.

• I am currently enrolled in a part-time MBA program at XYZ University.

• I plan to complete my PG within the next two years while working full-time as a Process Associate.

• I believe that furthering my education will enhance my skills and knowledge in the field of business administration.

The heart has four chambers: two atria and two ventricles.

• The heart has two atria (upper chambers) and two ventricles (lower chambers)

• The right atrium receives deoxygenated blood from the body and the left atrium receives oxygenated blood from the lungs

• The right ventricle pumps deoxygenated blood to the lungs for oxygenation, while the left ventricle pumps oxygenated blood to the rest of the body

Abdominal pain can be treated by identifying the underlying cause and providing appropriate medical intervention.

• Perform a thorough physical examination to assess the location and severity of the pain

• Obtain a detailed medical history from the patient to identify any potential triggers or risk factors

• Order diagnostic tests such as blood work, imaging studies, or endoscopy to help diagnose the cause of the pain

• Administer pain relief medications as needed, such as NSAIDs or opio...read more

Four common denials in healthcare billing include lack of medical necessity, incorrect coding, timely filing limits, and duplicate billing.

• Lack of medical necessity: When a service or procedure is not deemed medically necessary by the insurance company.

• Incorrect coding: When the codes submitted do not match the services provided, leading to denial.

• Timely filing limits: When claims are not submitted within the specified time frame by the insurance company.

• Duplicate billing: Wh...read more

SAS on Prem refers to SAS software installed and operated on-premises rather than in the cloud.

• SAS on Prem stands for SAS software that is deployed and managed on the organization's own servers.

• It allows organizations to have full control over their data and infrastructure.

• SAS on Prem is often preferred by organizations with strict data security and compliance requirements.

• Examples of SAS on Prem solutions include SAS Viya deployed on the organization's servers.

API automation involves using software tools to automatically test and interact with APIs.

• API automation involves using scripts or tools to send requests to an API and validate the responses.

• It helps in automating the testing of APIs to ensure they function correctly and meet requirements.

• API automation can be done using tools like Postman, SoapUI, or programming languages like Python with libraries like requests.

The reason for what?

• Need more context to provide a specific reason

• Could be related to a specific action, decision, outcome, etc.

• Can you provide more details or clarify the question?

A drawback is a disadvantage or limitation of a particular situation or course of action.

• Drawbacks can hinder progress or success in a project or task.

• They can be caused by limitations in resources, technology, or skills.

• Examples include lack of funding, outdated software, or inadequate training.

• Identifying drawbacks early on can help mitigate their impact on a project.

Fast forward is a feature that allows users to skip ahead in a video or audio file to a specific point.

• Fast forward allows users to quickly move forward in a video or audio file.

• Users can skip scenes or sections they are not interested in by using the fast forward feature.

• Commonly seen in media players, streaming services, and DVRs.

• Example: Pressing the fast forward button on a remote control to skip ahead in a movie.

ICD-10 coding clinic updates provide guidance on coding complex medical cases.

• ICD-10 coding clinic updates are published quarterly by CMS.

• They provide guidance on coding complex medical cases.

• Updates include new codes, coding guidelines, and coding scenarios.

• Clinic updates help coders stay up-to-date with changes in medical coding.

• Examples of recent updates include guidance on COVID-19 coding and telehealth services.

The functions of skin include protection, regulation of body temperature, sensation, and synthesis of vitamin D.

• Protection: Skin acts as a barrier against harmful substances, UV radiation, and pathogens.

• Regulation of body temperature: Skin helps regulate body temperature through sweating and blood vessel dilation/constriction.

• Sensation: Skin contains nerve endings that allow us to feel touch, pressure, temperature, and pain.

• Synthesis of vitamin D: Skin produces vitamin D when...read more

VLOOKUP is a function in Excel used to search for a value in a table and return a corresponding value from another column.

• Used in Excel to search for a value in the first column of a table and return a value in the same row from another column

• Syntax: =VLOOKUP(lookup_value, table_array, col_index_num, [range_lookup])

• Example: =VLOOKUP(A2, B2:D10, 3, FALSE) - searches for the value in cell A2 in the first column of the range B2:D10 and returns the value in the third column of th...read more

HLOOKUP is a function in Excel used to search for a value in the top row of a table and return a value in the same column from a specified row.

• Used in Excel to search for a value in the top row of a table

• Returns a value in the same column from a specified row

• Syntax: =HLOOKUP(lookup_value, table_array, row_index_num, [range_lookup])

• Example: =HLOOKUP(123, A1:D4, 3, FALSE) - searches for 123 in the top row of the table A1:D4 and returns the value in the third row

IQ Bot is an AI-powered cognitive automation solution that can learn from human behavior to handle unstructured data.

• IQ Bot uses cognitive technology to extract and process unstructured data like emails, PDFs, and images.

• It can learn from human corrections to improve accuracy over time.

• IQ Bot can be integrated with RPA platforms like UiPath to automate end-to-end processes.

• It is used in industries like finance, healthcare, and logistics for document processing and data extrac...read more