clinical abstractor Interview Questions and Answers

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100 Clinical Abstractor Interview Questions and Answers

  1. What is clinical abstraction?

    • Answer: Clinical abstraction is the process of reviewing patient medical records (both paper and electronic) and extracting relevant data points to create a structured, concise summary for analysis, reporting, or research. This involves identifying key information like diagnoses, procedures, medications, and demographics and translating them into a standardized format.

  2. What are the key skills required for a clinical abstractor?

    • Answer: Key skills include strong medical terminology knowledge, attention to detail, accuracy, ability to interpret complex medical information, data entry proficiency, understanding of medical record formats (both paper and electronic), familiarity with relevant coding systems (e.g., ICD, CPT, SNOMED CT), time management skills, and the ability to work independently and as part of a team.

  3. Explain your experience with different medical record systems.

    • Answer: [Tailor this answer to your experience. For example: "I have experience with Epic, Cerner, and Meditech systems. I'm proficient in navigating these systems to locate and extract the necessary information efficiently. I'm also comfortable with paper chart review and can adapt quickly to new systems."]

  4. How do you ensure accuracy in your clinical abstraction work?

    • Answer: I employ several strategies to ensure accuracy. These include double-checking my work, comparing data from multiple sources within the record, using standardized tools and checklists, and regularly reviewing coding guidelines and updates. I also maintain meticulous documentation of my abstraction process.

  5. How do you handle discrepancies or missing information in medical records?

    • Answer: When discrepancies arise, I carefully review the entire record to find supporting documentation. If the discrepancy cannot be resolved through the record, I follow established protocols, such as querying the physician or another relevant healthcare provider to clarify the information. I document all attempts to resolve discrepancies and the final resolution.

  6. What is your experience with ICD and CPT coding?

    • Answer: [Tailor this to your experience. For example: "I have a strong understanding of ICD-10 and CPT coding. I am familiar with the coding guidelines and regularly stay updated on coding changes. I am proficient in using coding resources to accurately assign codes." ]

  7. How do you prioritize tasks and manage your time effectively?

    • Answer: I use prioritization techniques like creating to-do lists and organizing charts by urgency and importance. I also break down large tasks into smaller, manageable steps. I am adept at meeting deadlines and adjusting my schedule as needed to accommodate changing priorities.

  8. Describe a time you had to deal with a challenging medical record.

    • Answer: [Provide a specific example. Highlight your problem-solving skills and ability to find solutions despite challenges. Focus on the steps you took, the outcome, and what you learned.]

  9. How do you maintain confidentiality when handling sensitive patient information?

    • Answer: I understand the importance of HIPAA compliance and maintain strict confidentiality at all times. I only access information necessary for my work and never share patient data with unauthorized individuals. I also adhere to all security protocols and policies regarding data storage and access.

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