CPT Codes
CPT Codes (Current Procedural Terminology Codes) are standardized numbers used in medical billing to describe medical procedures and services. Think of them as a universal language that helps medical practices communicate with insurance companies about what services were provided to patients. For example, instead of writing out "routine office visit," medical staff use a specific CPT code that all healthcare providers and insurance companies recognize. This system helps ensure accurate billing and proper insurance reimbursement. It's similar to how retail stores use SKU numbers to track products, but for medical procedures.
Examples in Resumes
Managed daily CPT code entry and verification for a busy pediatric practice
Trained staff on proper CPT code usage and updates for accurate medical billing
Achieved 98% accuracy rate in CPT code assignment and medical billing submissions
Supervised CPT Codes audit process and compliance monitoring
Typical job title: "Medical Coders"
Also try searching for:
Where to Find Medical Coders
Professional Organizations
Online Communities
Job Resources
Example Interview Questions
Senior Level Questions
Q: How do you handle complex coding scenarios where multiple procedures are performed in the same visit?
Expected Answer: A senior coder should explain bundling rules, modifier usage, and how to determine which procedures can be billed separately versus which ones are included in a primary procedure code.
Q: How do you stay current with CPT code changes and updates?
Expected Answer: Should discuss regular review of coding updates, participation in continuing education, subscription to coding newsletters, and attendance at professional workshops or webinars.
Mid Level Questions
Q: What steps do you take to ensure coding accuracy?
Expected Answer: Should mention reviewing medical documentation thoroughly, checking coding guidelines, using coding software tools, and consulting with healthcare providers when documentation is unclear.
Q: How do you handle insurance claim denials related to CPT coding?
Expected Answer: Should explain process of reviewing the original claim, checking for coding errors, verifying documentation supports the code used, and making necessary corrections for resubmission.
Junior Level Questions
Q: What is the difference between CPT codes and ICD-10 codes?
Expected Answer: Should explain that CPT codes are for procedures and services performed, while ICD-10 codes describe the patient's conditions and diagnoses.
Q: How do you verify if a CPT code requires a modifier?
Expected Answer: Should mention checking coding guidelines, using coding software, and consulting with senior coders when uncertain about modifier usage.
Experience Level Indicators
Junior (0-2 years)
- Basic understanding of medical terminology
- Knowledge of common CPT codes
- Basic insurance billing procedures
- Use of medical coding software
Mid (2-5 years)
- Advanced knowledge of coding guidelines
- Understanding of insurance requirements
- Ability to handle complex cases
- Audit preparation experience
Senior (5+ years)
- Team leadership and training
- Complex case resolution
- Coding compliance oversight
- Process improvement implementation
Red Flags to Watch For
- Unfamiliarity with basic medical terminology
- No knowledge of coding compliance regulations
- Lack of attention to detail
- No experience with medical coding software
- Unable to explain basic coding guidelines
