ICD-10
ICD-10 is the standard system that healthcare providers use to classify and code all diagnoses, symptoms, and procedures. Think of it as a universal medical dictionary that helps doctors, hospitals, and insurance companies speak the same language when describing medical conditions. It replaced the older ICD-9 system in 2015, bringing more detailed and accurate ways to describe medical conditions. When you see this on a resume, it means the candidate knows how to properly code medical records, which is essential for accurate patient records and insurance billing.
Examples in Resumes
Managed patient records using ICD-10 coding system for a busy medical practice
Trained staff of 5 medical billers in ICD-10 and ICD-10-CM documentation standards
Achieved 98% accuracy rate in ICD-10 diagnostic coding for insurance claims
Typical job title: "Medical Coders"
Also try searching for:
Where to Find Medical Coders
Professional Organizations
Job Boards
Online Communities
Example Interview Questions
Senior Level Questions
Q: How do you handle complex cases where multiple ICD-10 codes might apply?
Expected Answer: A senior coder should explain their process for identifying primary and secondary diagnoses, using combination codes when appropriate, and following coding guidelines for multiple conditions.
Q: How do you stay current with ICD-10 updates and train others?
Expected Answer: Should discuss methods for keeping up with quarterly updates, maintaining certifications, and experience in developing training programs for staff.
Mid Level Questions
Q: What's your process for ensuring accurate code selection?
Expected Answer: Should explain their process of reviewing medical documentation, using coding resources, and double-checking work for accuracy before submission.
Q: How do you handle insurance claim rejections related to ICD-10 coding?
Expected Answer: Should describe their process for reviewing rejected claims, identifying coding errors, and making appropriate corrections.
Junior Level Questions
Q: Can you explain the basic structure of an ICD-10 code?
Expected Answer: Should be able to explain that codes start with letters followed by numbers, and how different sections relate to different types of conditions.
Q: What resources do you use to look up correct ICD-10 codes?
Expected Answer: Should mention standard coding manuals, electronic coding software, and official coding guidelines.
Experience Level Indicators
Junior (0-2 years)
- Basic understanding of medical terminology
- Knowledge of basic ICD-10 code structure
- Ability to use coding manuals and software
- Basic insurance billing knowledge
Mid (2-5 years)
- Accurate coding for complex medical cases
- Understanding of Medicare/Medicaid requirements
- Ability to train junior staff
- Knowledge of coding compliance rules
Senior (5+ years)
- Expert level coding accuracy
- Audit experience
- Team leadership capabilities
- Deep understanding of healthcare regulations
Red Flags to Watch For
- No knowledge of basic medical terminology
- Unfamiliarity with HIPAA regulations
- No coding certifications after several years in the field
- Poor attention to detail in documentation
- No experience with electronic health records systems
Related Terms
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