Medical coding interviews test two things: whether you know the guidelines, and whether you can work accurately on your own. Below are the questions new coders are asked most often, sample answers, and tips that apply to every interview.
Common Technical Questions
- Walk me through how you code an office visit.
- When do you query a provider?
- What is the difference between a primary and secondary diagnosis?
- How do you choose an E/M level: medical decision making or time?
- What does modifier 25 mean, and when is it appropriate?
- What is an HCC, and why does documentation support matter?
Coding Scenario Questions With Model Answers
“The provider lists diabetes with hyperglycemia and the patient takes insulin. How do you code it?”
Model answer: “I would code type 2 diabetes with hyperglycemia, E11.65, and add Z79.4 for long term insulin use, following the ICD-10-CM guidelines for diabetes and long term drug therapy. If the type of diabetes were not documented, I would follow the guideline default or query the provider.”
“The note does not support the diagnosis listed on the claim. What do you do?”
Model answer: “I would not code a diagnosis the documentation does not support. I would send a compliant, non leading query to the provider and follow our query policy.”
How to Answer “You Have No Experience”
Do not apologize. Point to real work: “I completed AAPC Practicode with real, redacted cases across specialties, and I coded real charts in the Coding Clarified HCC internship, where my audited accuracy was [your number].” Then show your plan: “My goal is to keep my accuracy above your standard while I build speed.”
Questions About Accuracy and Productivity
Expect “How do you balance speed and accuracy?” A strong answer: accuracy comes first, speed comes from repetition and knowing your guidelines and tools. Know that many employers expect 95% accuracy or higher, and ask what their productivity targets are for new coders.
Questions to Ask Them
- What does training look like for a new coder?
- How often are coders audited, and how is feedback shared?
- What are the productivity expectations in the first 90 days?
- Is there a path to remote work, and what does it require?
Remote Interview Tips
- Test your camera, microphone, and internet before the call.
- Use a quiet, private space, the same kind you would code from.
- Have your resume, credential number, and a few coding examples ready.
- Be ready for a timed coding assessment, which many employers send before or after the interview.
More help: medical coding resume tips, how to find a medical coding job, and what remote coding is really like.
