Results 1 to 8 of 8

Interview with a major hospital--O/P

  1. #1
    Location
    New Haven, CT
    Posts
    94
    Default Interview with a major hospital--O/P
    Medical Coding Books
    What kind of a test would they be giving me? I'm thinking it's E/M, with emphasis on ER, etc. Anything I should read up on, before I go in? Questions I should ask? I'm a CPC-A and I want them to look BEYOND my credential's "A". Any help would be appreciated. Thanks!
    Meegan Sweeney, CPC-A

  2. #2
    Location
    Columbia, MO
    Posts
    12,529
    Default
    iwould guess they would want to test your knowledge of OPPS and APCs. E& M coding for facility outpatient is very different from physician. Also you need to know revenue codes and CPT revenue code associations.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Location
    New Haven, CT
    Posts
    94
    Default As a coder with no experience...?
    I have never coded for a facility before. Where would one find out information on the revenue codes and such? I would think it would be different for every facility, no? OPPS isn't something I've used before, finding the DRGs and so on. I know the concepts and learned how to do some of it...but it's not like I've worked on the computer system used to calculate them.
    Meegan Sweeney, CPC-A

  4. #4
    Location
    Columbia, MO
    Posts
    12,529
    Default
    Rev codes are standardised and are not different for different facilities. DRGs are for inpatient and APCs are for outpatient. You should do some internet searching on OPPS and APCs and hospital revenue codes before your interview. Also facility E&M for outpatient. You do not use the 95/97 guidelines for a facility E&M you must use facility specific criteria and that is different for each facility and the E&M may be a coder responsibility or it could be a charge entry responsibility or even a nurse responsibility it it up to the facility. You should also read up on facility chargemaster. It just really depends on the facility as to how much is a coding responsibility. One I worked in we had to know it all, and another we only had to code the procedures and the diagnosis.

    Debra A. Mitchell, MSPH, CPC-H

  5. #5
    Location
    New Haven, CT
    Posts
    94
    Default Thanks!
    I just looked in one of my old textbooks and it rang a bell. I guess it's just nerves. LOL

    I also looked over the job description again...it just says assigning codes...Cut and pasted here:

    Health Information Specialist Coder I is responsible for reviewing clinical documentation and assigning the appropriate ICD-9-CM diagnoses, CPT-4 procedure codes and review/validation of other specific CPT codes assigned through CDM charging.

    Now to research CDM...LOL
    Last edited by ealasaid76; 11-27-2011 at 07:03 AM. Reason: Had to add some info...
    Meegan Sweeney, CPC-A

  6. #6
    Default Hospital employment exam
    I took a hospital pre-employment exam and it was only coding. In fact the questions were pretty basic. Much easier then the CPC exam. If you just took your exam recently you will do fine. Keep in mind a lot of pre-employment exams want you to have a 95% pass rate. Not all but some. What I would suggest is that you make notes as to why you chose the answer you did if you stumble on one. No reason why you can't make notes off to the side. That way when they grade it if you have a valid reason you can discuss it with them. This will also give you a chance to show them you are easy to work with and are eager to learn. It will also let them see you take critisim or correction well. Don't talk yourself down. If you make a mistake then admit it and something like, "I realise now that I looked at the question wrong. Thank you for explaining that for me." If I had to hire someone and it was between two people, one who was new and was eager to learn but knew the basics versus another who felt like they knew it all and had a brash personality I would go with the first one. Being able to get along with people in an office, having confidence and eager to learn is much more important in my opinion.
    Alicia Scott, CPC, CPC-I, CRC
    Educational Director, CCO.us,
    Have a Passion for Coding

  7. #7
    Location
    Columbia, MO
    Posts
    12,529
    Default
    Quote Originally Posted by msweeney76 View Post
    I just looked in one of my old textbooks and it rang a bell. I guess it's just nerves. LOL

    I also looked over the job description again...it just says assigning codes...Cut and pasted here:

    Health Information Specialist Coder I is responsible for reviewing clinical documentation and assigning the appropriate ICD-9-CM diagnoses, CPT-4 procedure codes and review/validation of other specific CPT codes assigned through CDM charging.

    Now to research CDM...LOL
    CDM is another term for the chargemaster, it stands for charge description master. If this is part of the job then you should definitely know the relationship of revenue center to CPT codeand themore common revenue center codes suh as 410 is Er and 360 is 0R and 510 is clinic.

    Debra A. Mitchell, MSPH, CPC-H

  8. #8
    Location
    New Haven, CT
    Posts
    94
    Default
    Thanks for all your answers/advice. I spoke to the manager today on the phone about the test and he said that he's definitely only giving us a few cases and wants to see what we can do. That made me feel better. He didn't mention anything about CDM...that was just in the job description from HR.

    I am reading up again on the revenue codes. I have to continue practicing basics of the UB-04 anyway.
    Meegan Sweeney, CPC-A

Similar Threads

  1. Replies: 3
    Last Post: 07-09-2015, 07:40 AM
  2. MAJOR Dx ISSUE!!
    By a.montaruli@gmail.com in forum OB/GYN
    Replies: 0
    Last Post: 06-13-2013, 11:41 AM
  3. I need some major E&M help??
    By melandglenn in forum E/M
    Replies: 0
    Last Post: 06-14-2012, 08:56 AM
  4. Major Procedure Always First?
    By halebill in forum Orthopaedics
    Replies: 3
    Last Post: 09-27-2011, 12:49 PM
  5. Hospital Interview
    By cwalker in forum Emergency Department
    Replies: 3
    Last Post: 05-05-2009, 11:49 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.