CPT Codes
CPT (Current Procedural Terminology) Codes are like a universal language that healthcare providers and insurance companies use to describe medical procedures and services. Think of them as detailed price tags or menu items - each code represents a specific medical service, from a simple check-up to complex surgery. When you see this term in resumes, it usually means the person has experience working with medical billing, insurance claims, or healthcare administration. These codes are essential for making sure hospitals and doctors get paid correctly by insurance companies. Similar systems include ICD-10 codes (for diagnoses) and HCPCS codes (for medical supplies).
Examples in Resumes
Processed over 500 insurance claims daily using CPT Codes and CPT billing systems
Trained new staff members on proper CPT Code assignment and documentation
Reduced billing errors by 30% through accurate CPT verification and coding
Typical job title: "Medical Billers and Coders"
Also try searching for:
Where to Find Medical Billers and Coders
Professional Organizations
Online Communities
Job Boards
Example Interview Questions
Senior Level Questions
Q: How would you handle a complex medical procedure that seems to require multiple CPT codes?
Expected Answer: A senior coder should explain the process of reviewing medical documentation, understanding bundled services, and applying appropriate modifiers when needed. They should mention checking coding guidelines and consulting with providers if necessary.
Q: How do you stay current with CPT code changes and updates?
Expected Answer: Should discuss regular review of coding updates from AMA, attending continuing education sessions, participating in professional organizations, and implementing training programs for staff when changes occur.
Mid Level Questions
Q: What steps do you take to ensure coding accuracy?
Expected Answer: Should describe reviewing medical documentation thoroughly, using coding resources, double-checking work, and following compliance guidelines. Should mention importance of asking for clarification when needed.
Q: How do you handle insurance claim denials related to CPT coding?
Expected Answer: Should explain process of reviewing the original claim, identifying coding errors, checking medical necessity, and working with insurance companies to resolve issues.
Junior Level Questions
Q: What is a CPT code and why is it important?
Expected Answer: Should be able to explain that CPT codes are standardized codes used to report medical procedures to insurance companies, and why accurate coding is important for proper payment.
Q: What resources do you use to look up CPT codes?
Expected Answer: Should mention standard coding manuals, electronic coding software, and official coding guidelines. Should demonstrate understanding of basic code lookup procedures.
Experience Level Indicators
Junior (0-2 years)
- Basic CPT code lookup and assignment
- Understanding of medical terminology
- Basic insurance claim processing
- Use of medical coding software
Mid (2-5 years)
- Complex procedure coding
- Handling claim denials
- Understanding of compliance requirements
- Ability to train others on basic coding
Senior (5+ years)
- Advanced coding for multiple specialties
- Audit preparation and response
- Team leadership and training
- Process improvement implementation
Red Flags to Watch For
- No knowledge of basic medical terminology
- Unfamiliarity with coding compliance guidelines
- No experience with electronic health records systems
- Lack of attention to detail in previous work
