Medical Coding Specialist

10+ Medical Coding Specialist Interview Questions and Answers

Updated 23 Nov 2024
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Q1. New changes in MDM table in 2023

Ans.

The new changes in MDM table in 2023 are not yet announced.

  • There is no official announcement yet regarding the new changes in MDM table for 2023.

  • It is important to stay updated with the latest news and updates regarding medical coding.

  • Changes in MDM table can affect the way medical codes are assigned and billed.

  • Medical coding specialists should be prepared to adapt to any changes in the MDM table.

Q2. What is chronic kidney disease

Ans.

Chronic kidney disease is a long-term condition where the kidneys are unable to filter blood properly, leading to waste buildup in the body.

  • Chronic kidney disease is often caused by conditions like diabetes, high blood pressure, or glomerulonephritis.

  • Symptoms may include fatigue, swelling, changes in urination, and high blood pressure.

  • Treatment may involve medications, lifestyle changes, and in severe cases, dialysis or kidney transplant.

Q3. What is social determinants

Ans.

Social determinants are the conditions in which people are born, grow, live, work, and age that impact their health outcomes.

  • Social determinants include factors such as socioeconomic status, education, neighborhood and physical environment, employment, and social support networks.

  • These factors can greatly influence a person's access to healthcare, quality of healthcare received, and overall health outcomes.

  • For example, individuals living in poverty may have limited access to ...read more

Q4. What is amputation

Ans.

Amputation is the surgical removal of a limb or part of a limb.

  • Amputation is typically done as a last resort to remove a diseased or damaged limb that is causing pain or infection.

  • Common reasons for amputation include severe trauma, cancer, diabetes complications, and vascular disease.

  • Types of amputation include above-the-knee, below-the-knee, arm, and finger/toe amputations.

  • Rehabilitation and prosthetic devices are often used to help amputees regain function and mobility.

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Q5. What is anerysum

Ans.

An aneurysm is a bulge or ballooning in a blood vessel caused by a weakening in the vessel wall.

  • An aneurysm can occur in any blood vessel in the body, but most commonly in the aorta (aortic aneurysm) or the brain (cerebral aneurysm).

  • Risk factors for developing an aneurysm include high blood pressure, smoking, and a family history of aneurysms.

  • Symptoms of an aneurysm can vary depending on the location and size, but may include pain, pulsating sensation, or neurological symptom...read more

Q6. Hypertension with heart disease

Ans.

Hypertension with heart disease is a common comorbidity often seen in medical coding.

  • Assign separate codes for both conditions when coding a patient with hypertension and heart disease

  • Use ICD-10 codes to accurately document the specific type of heart disease and hypertension

  • Be sure to follow coding guidelines and conventions when assigning codes for multiple conditions

  • Example: Assign I10 for hypertension and I50 for heart failure

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Q7. Definition of medical coding

Ans.

Medical coding is the process of converting healthcare diagnoses, procedures, medical services, and equipment into universal alphanumeric codes.

  • Medical coding is essential for billing and reimbursement in healthcare.

  • Codes are used to accurately describe diagnoses, treatments, and procedures.

  • ICD-10, CPT, and HCPCS are common code sets used in medical coding.

  • Accurate coding ensures proper documentation and communication between healthcare providers and insurance companies.

Q8. ICD guidelines 2023

Ans.

ICD guidelines 2023 are the latest updates to the International Classification of Diseases coding system.

  • ICD guidelines 2023 include new codes for COVID-19 related conditions

  • ICD-10-CM codes will be replaced by ICD-11 in 2023

  • ICD-11 includes new chapters for traditional medicine and sexual health

  • ICD-11 also includes updated codes for mental health disorders

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Q9. OB gyn Guidelines

Ans.

OB gyn guidelines are specific coding rules for obstetrics and gynecology procedures.

  • OB gyn guidelines include specific codes for pregnancy-related services, such as antepartum care, delivery, and postpartum care.

  • Codes for gynecological services, such as annual exams, pap smears, and colposcopies, are also included in the guidelines.

  • It is important to follow the guidelines to ensure accurate coding and reimbursement for services provided.

Q10. Plural cavity explain

Ans.

Plural cavity refers to multiple spaces or compartments within the body.

  • Plural cavity can refer to areas such as the thoracic cavity, abdominal cavity, or cranial cavity.

  • These cavities contain organs and structures that are vital for bodily functions.

  • Understanding the location and contents of each cavity is important for medical coding and billing.

Q11. Explain mdm table

Ans.

MDM table is a database table used in medical coding to store information related to medical decision making.

  • MDM table stands for Medical Decision Making table.

  • It is used in medical coding to store information about the decision making process for patient care.

  • The table typically includes data such as diagnosis codes, treatment plans, and risk factors.

  • Medical coders use the information in the MDM table to assign the appropriate codes for billing and reimbursement.

  • Example: MDM...read more

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