Can you discuss any experience you have with coding for different payers (e.g., Medicare, Medicaid, private insurance)?

Sample interview questions: Can you discuss any experience you have with coding for different payers (e.g., Medicare, Medicaid, private insurance)?

Sample answer:

• Medicare:
  • Worked extensively with Medicare guidelines and regulations.
  • Proficient in coding for Medicare Part A (hospital insurance) and Part B (medical insurance).
  • Experience with Medicare Advantage plans and Medicare Part D (prescription drug coverage).
• Medicaid:
  • Familiar with Medicaid eligibility requirements and reimbursement policies.
  • Experience with coding for a variety of Medicaid services, including inpatient and outpatient hospital care, physician services, and prescription drugs.
  • Knowledge of state-specific Medicaid programs and regulations.
• Private Insurance:
  • Worked with a variety of private insurance plans, including commercial insurance, managed care plans, and PPOs.
  • Experience with coding for inpatient and outpatient hospital care, physician services, and other covered services.
  • Knowledge of the different coding requirements and guidelines used by different private insurance plans.

Additional Skills and Experience:

• Coding Software:
  • Proficient in using a variety of medical coding software programs.
  • Experience with using electronic health records (EHRs) to extract data for coding.

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  Source: https://hireabo.com/job/2_1_43/Medical%20Coder