charge entry specialist Interview Questions and Answers

1. What is your experience with medical billing and coding?

   • Answer: I have [Number] years of experience in medical billing and coding, with expertise in [Specific coding systems, e.g., CPT, HCPCS, ICD-10]. I'm proficient in [Specific software/systems used, e.g., Epic, Cerner, Meditech] and have a strong understanding of medical terminology and insurance regulations.

2. Describe your experience with charge entry software.

   • Answer: I have extensive experience using [Specific software] for charge entry. My skills include accurate data entry, verifying charges against medical documentation, and identifying and correcting errors. I am familiar with the workflow from charge capture to final billing.

3. How do you ensure the accuracy of charge entry?

   • Answer: I meticulously cross-reference charges with the patient's medical record, ensuring codes accurately reflect services rendered. I regularly perform audits of my own work and utilize system-generated reports to identify potential errors. I also stay updated on coding guidelines and regulations to maintain accuracy.

4. How do you handle rejected claims?

   • Answer: I systematically investigate rejected claims, identifying the reason for rejection through the payer's remittance advice. I then take corrective action, such as correcting coding errors, resubmitting claims with supporting documentation, or contacting the payer for clarification.

5. What is your understanding of HIPAA regulations?

   • Answer: I understand HIPAA's importance in protecting patient health information (PHI). I am familiar with the Privacy Rule, Security Rule, and Breach Notification Rule, and I consistently adhere to these regulations in all my work, including secure data entry and access control.

6. How do you handle high-volume workloads?

   • Answer: I prioritize tasks effectively, manage my time efficiently, and maintain focus even under pressure. I'm comfortable working independently and as part of a team to meet deadlines and maintain accuracy.

7. Explain your experience with different types of insurance payers.

   • Answer: I have experience working with [List payers, e.g., Medicare, Medicaid, Blue Cross Blue Shield, commercial payers]. I understand the specific requirements and claim submission processes for each payer.

8. How familiar are you with CPT and ICD-10 coding?

   • Answer: I am proficient in both CPT and ICD-10 coding. I regularly consult coding manuals and stay updated on changes and updates to ensure accurate coding.

9. Describe your problem-solving skills. Give a specific example.

   • Answer: I approach problems systematically, identifying the root cause before implementing a solution. For example, when I encountered a high rate of claim rejections for a specific procedure, I systematically investigated the coding, documentation, and payer guidelines, eventually identifying an inconsistency in our coding practices that was resolved through training and updated procedures.

10. How do you maintain data integrity?

    • Answer: Data integrity is paramount. I use various methods including double-checking entered data, using data validation tools within the system, and adhering to strict data entry protocols. Regular audits and adherence to established workflows are key.

11. What are your keyboarding skills like?

    • Answer: My typing speed is [Words per minute] with a high degree of accuracy. I am proficient in using various keyboard shortcuts to enhance efficiency.

12. How do you handle stressful situations?

    • Answer: I remain calm and focused under pressure. I prioritize tasks, break down complex problems into smaller manageable steps, and seek assistance when needed.

13. Are you familiar with medical terminology?

    • Answer: Yes, I have a strong understanding of medical terminology. I can accurately interpret and use medical terms related to various specialties.

14. Describe your teamwork skills.

    • Answer: I am a strong team player and collaborate effectively with colleagues. I communicate clearly and contribute positively to a collaborative work environment.

15. What are your salary expectations?

    • Answer: Based on my experience and skills, my salary expectation is in the range of $[Range].

16. Why are you interested in this position?

    • Answer: I am interested in this position because [Explain reasons, e.g., company reputation, career growth opportunities, interest in the healthcare field].

17. What are your strengths?

    • Answer: My strengths include [List strengths, e.g., attention to detail, accuracy, efficiency, teamwork, problem-solving].

18. What are your weaknesses?

    • Answer: [Choose a weakness and explain how you are working to improve it, e.g., I sometimes focus too much on details, but I am learning to prioritize tasks more effectively].

19. Why did you leave your previous job?

    • Answer: [Provide a positive and concise answer, e.g., I am seeking a new opportunity with greater career growth potential].

20. Where do you see yourself in five years?

    • Answer: In five years, I hope to be a valuable member of this team, having further developed my skills and knowledge in medical billing and coding. I am also interested in [Mention career advancement goals].

21. How do you handle conflicting priorities?

    • Answer: I prioritize tasks based on urgency and importance, using time management techniques to ensure all deadlines are met.

22. Describe a time you made a mistake. How did you handle it?

    • Answer: [Describe a specific situation, focusing on the steps taken to correct the mistake and prevent it from happening again].

23. How do you stay current with changes in medical billing and coding?

    • Answer: I stay up-to-date by regularly reviewing industry publications, attending webinars and conferences, and participating in continuing education programs.

24. What is your experience with denials management?

    • Answer: I have [Level of experience] experience in denials management. I am skilled at identifying trends, analyzing denial reasons, and implementing strategies to reduce denials.

25. How do you handle difficult patients or colleagues?

    • Answer: I remain professional and respectful at all times. I listen actively and try to understand their perspective, then work towards a solution that satisfies everyone involved.

26. Describe your experience with electronic health records (EHR).

    • Answer: I have experience using various EHR systems, including [List systems]. I am proficient in navigating the system to access and interpret patient information for accurate charge entry.

27. What is your understanding of modifiers in medical billing?

    • Answer: Modifiers provide additional information about a procedure or service. I understand how to apply modifiers correctly to ensure accurate reimbursement.

28. How do you prioritize tasks when faced with multiple deadlines?

    • Answer: I use prioritization techniques such as time management matrices and work backward from deadlines to create a realistic workflow.

29. Are you comfortable working independently and as part of a team?

    • Answer: Yes, I am comfortable working both independently and collaboratively. I thrive in team environments and contribute effectively to group projects.

30. What is your attention to detail like? Give an example.

    • Answer: My attention to detail is exceptional. For example, [Give a specific example of how your attention to detail has led to success].

31. How do you handle pressure and meet deadlines?

    • Answer: I handle pressure by staying organized, prioritizing tasks, and seeking support when needed. I consistently meet deadlines by efficiently managing my time.

32. Describe a time you had to adapt to a new system or process.

    • Answer: [Describe a specific experience and highlight the skills used to adapt successfully].

33. What is your experience with auditing charge entry?

    • Answer: I have [Level of experience] experience conducting charge entry audits. I'm familiar with identifying common errors and recommending corrective actions.

34. How do you ensure patient confidentiality?

    • Answer: I strictly adhere to HIPAA regulations, ensuring that patient information is only accessed and used for legitimate purposes. I also follow all facility protocols to protect patient confidentiality.

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