Health Information Manager Interview Questions

Can you explain your understanding of medical terminology, coding, and billing practices?

SENIOR LEVEL

Sample answer to the question:

Yes, I have a good understanding of medical terminology, coding, and billing practices. I have been working in the healthcare industry for the past five years, and during this time, I have gained extensive knowledge and experience in these areas. I am familiar with the common medical terms used in various specialties and can easily navigate through medical records and patient charts. As for coding, I am proficient in ICD-10-CM and CPT coding systems and have hands-on experience in assigning appropriate codes to diagnoses and procedures. Additionally, I have experience with different billing practices, including insurance claims and reimbursement processes. Overall, my understanding of medical terminology, coding, and billing practices is solid.

Here is a more solid answer:

Yes, I have a strong understanding of medical terminology, coding, and billing practices. In my five years of experience in the healthcare industry, I have worked closely with medical professionals and have gained a deep knowledge of medical terminology specific to different specialties. I am proficient in using coding systems like ICD-10-CM and CPT, and I have hands-on experience in assigning accurate codes to diagnoses and procedures. Moreover, I am well-versed in billing practices, including insurance claims and reimbursement processes. I have successfully managed the billing workflow, ensuring timely and accurate submission of claims. My understanding of medical terminology, coding, and billing practices is essential in effectively managing health information systems and ensuring compliance with regulatory requirements.

Why is this a more solid answer?

The solid answer expands on the basic answer by providing specific details and examples of the candidate's experience with medical terminology, coding, and billing practices. It highlights their deep knowledge of medical terminology specific to different specialties and their proficiency in using coding systems. It also mentions their experience in successfully managing billing processes.

An example of a exceptional answer:

Yes, I have a comprehensive understanding of medical terminology, coding, and billing practices. Throughout my career, I have actively pursued opportunities to enhance my knowledge in these areas. I have achieved certifications in medical terminology, such as CMT (Certified Medical Transcriptionist), which have equipped me with a solid foundation in understanding complex medical terms. In terms of coding, I have experience working with multiple coding systems, including ICD-10-CM, CPT, and HCPCS, enabling me to accurately assign codes to diagnoses, procedures, and supplies. I have even led coding workshops for healthcare professionals to ensure coding accuracy and compliance. Additionally, my expertise in billing practices extends beyond basic claims submission. I have proactively implemented strategies to improve revenue cycle management, reducing claim denials and optimizing reimbursement. My in-depth understanding of medical terminology, coding, and billing practices allows me to effectively guide and train healthcare professionals to ensure accurate and compliant health information management.

Why is this an exceptional answer?

The exceptional answer goes above and beyond by highlighting the candidate's continuous pursuit of knowledge in medical terminology, coding, and billing practices. It mentions their certifications and experience in leading workshops to promote coding accuracy. It also highlights their proactive approach in improving revenue cycle management. The answer showcases the candidate's ability to guide and train healthcare professionals in these areas.

How to prepare for this question:

Review medical terminology specific to the healthcare specialty you are applying for. Familiarize yourself with the common terms and their definitions.

Study and practice using different coding systems, such as ICD-10-CM, CPT, and HCPCS. Understand the guidelines for assigning codes accurately.

Stay up to date with the latest healthcare regulations and billing practices. Familiarize yourself with insurance claim submission and reimbursement processes.

Consider pursuing relevant certifications, such as RHIA or RHIT, to demonstrate your expertise and commitment to the field.

Seek opportunities to gain hands-on experience in medical terminology, coding, and billing practices. Look for internships or volunteer positions in healthcare settings.