I have always created tests in-line with the work I would expect the coder to do after hire. It's an invaluable tool to measure not just level of coding expertise, but the time it takes to do it.
I kept the test to 10 or 15 questions max and mixed both ICD-9 and CPT coding, focusing 2 or 3 questions on trickier coding such as those that involve multiple modifiers (for surgery) and for diagnosis coding, combination coding such as for diabetes which also tests 5th digit code assignment.
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