How do you ensure accuracy and completeness in medical coding?

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Sample interview questions: How do you ensure accuracy and completeness in medical coding?

Sample answer:

Accuracy:

  • Regular Education and Certification: Stay up-to-date with industry best practices, coding guidelines, and regulatory changes through continuing education programs and certifications.
  • Meticulous Chart Review: Thoroughly review medical records to capture all relevant patient information accurately.
  • Utilization of Coding Software: Utilize coding software with built-in coding logic and error checks to assist with accuracy.
  • Peer Review and Internal Audits: Conduct regular peer reviews and internal audits to identify and rectify potential coding errors.
  • Collaboration with Clinical Staff: Consult with healthcare providers to clarify medical terms and diagnoses to ensure correct coding.

Completeness:

  • Adherence to Coding Guidelines: Strictly follow coding guidelines established by organizations like the American Health Information Management Association (AHIMA).
  • Comprehensive Chart Analysis: Analyze all available medical records, including history, physical examination, laboratory tests, imaging results, and procedure notes, to ensure comprehensive coding… Read full answer

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

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