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What makes a good CPC Practice Exam? Questions and Answers with Full Rationale

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2016 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Click here for more sample CPC practice exam questions and answers with full rationale

CPC-experienced 2 1/2 years on the job seeking remote position!

Seeking a remote position full time or part-time (Contracting work as well)

Here is my resume. I am very dedicated and hopeful to land a great job! Currently I am working for a family practice. I have gained so much knowledge coding for these physicians.

272 Briar Cliff Street Southwest, Poplar Grove, IL 61065 | [email protected]| 815-289-0983

PROFESSIONAL SUMMARY Detail-oriented Certified Professional Coder (CPC) with 3 years’ experience in clinical and outpatient settings with knowledge in hospital inpatient coding,
seeking a remote coder or auditor position where I can utilize my skills and training I have obtained in my years of experience and education.

Certified Professional Coder (CPC)
Rock Valley College, Rockford, IL-2015-2017
Affiliations: American Academy of Professional Coders (AAPC)

Certificate of Completion Healthcare Administration
University of Phoenix, Phoenix, AZ 2010-2011

Your Family Doctor, LLC. September 2015-present
• Assigns CPT-4, ICD-10, and HCPCS codes for professional fees associated with office based services documented in the medical record.
• Review and abstract codes from electronic medical records.
• Coded surgical procedures performed in physician office.
• Ensure all coded data accurately reflects service provided, based on documentation, guarded against fraud and abuse based off of CMS guidelines.
• Assigned respiratory, vaccine, path lab, injection, radiology codes
• Input and verify correct CPT and ICD 10 codes to match labs
• Maintained strict patient and physician confidentiality
• Accurately entered coded information into an encoder and abstracting system and responded appropriately to encoder edits.
• Knowledge of Medicare, Medicaid, and other payer requirements and systems to appropriately bill professional claims
• Performed chart audits by reviewing clinical documentation against the medical record, claims data, and coding information
• Entered demographics and processed claims
• Processed EOBs and payments
• Provided physicians and staff with newly updated information
• Follow 1995 and 1997 on Evaluation and Management codes
• OIG training and HIPAA Compliance
• Knowledge of medical terminology, anatomy, and physiology, disease process, surgical terminology and pharmacology.
• Knowledge of prescriptions, adverse reactions, infections disease
• Navigated electronic health records and health information management and billing systems.
• Pain management, preventative maintenance, vaccine, school and work physical coding History and Physical examination coding, Path labs, Interventional Radiology, Neoplasm coding
• Attend seminars pertaining to CMS updates and guidelines
• Abide by AAPC code of Ethics
SKILLS • HCC coding
• E&M proficient (both 1995 and 1997 guidelines)
• Medical terminology
• 95% accuracy ratio
• E&M coding knowledge in various specialties
• 3m encoder, Epic, Meditech, SuccessEHS software
• Chart auditing ability
• Vaccine coding
• Infusion IV therapy coding
• Injection coding (i.e. trigger point injections, therapeutic)
• Pharmaceutical knowledge
• Excellent interpersonal skills
• Strong problem-solving skills
• Technical skills
• Works well in fast-paced environment
• Multi-tasking skills
• Meets deadlines
• NCCI edits and LCDs, NCDs
• G-code expert

Medical Billing and Coding Forum

CPC-A seeking employment in Galveston, Texas area

Hello! Just recently got my CPC-A on November 14th. Would love to work here in my hometown of Galveston, Texas, doing Medical Coding. I know this is probably an old question, but would appreciate any suggestions on how to find a position. Have checked the local hospital here and there are no coding positions posted at this time. Am considering doing the Practicode course to work toward removing the "A" from my CPC designation.

Any suggestions or leads would be greatly appreciated. Thank you!

Medical Billing and Coding Forum

Professional coder seeking Full-Time remote position or on-site near Hornell, NY

396 Duane St • Hornell, NY 14843
607.661.7421 • [email protected]

Professional Fee Coder •HIM Professional• Medical Billing Specialist
Certified professional coder with over a decade of professional work in the health information management field and diverse experience in coding across multiple specialties including inpatient, outpatient, OB/GYN, pediatrics, internal and family medicine. Seeking a challenging position with a well-established organization with opportunities for continued professional growth.


University of Rochester Center for Primary Care Rochester, NY
Informational Analyst II/Professional Fee Coder 2016 – Present

• Assign and code professional and facility procedures, services and diagnoses for claims processing.
• Capture, review and abstract patient medical records to ensure accurate patient statements; review medical records for coding and documentation compliance.
• Audit provider documentation to assure compliance with National Coding Standards, including ICD-10, CPT, CMS & ASA.
• Provide subject matter expertise and guidance to staff regarding existing documentation, coding, queries, and audit requirements; research and communicate changes/updates/trends and identify opportunities for education & improvement.
• Administer charges for claim submission, coordinate missing charge reports, and process work claims edits.
• Resolve coding and charge disputes; participate in the appeal process.
• Provide education to physicians and staff/clients regarding coding and billing topics as needed.
Pinnacle Family Medicine Hornell, NY Coder/ Primary Medical Biller 2009 – 2016
• Performed primary billing duties; worked with all major and commercial insurance companies.
• Managed claim submission and follow-up, scrubbed claims for optimum acceptance rate.
• Responded to rejections and denials; filed appeals.
• Reviewed medical records, utilizing ICD-10, CPT, and HCPCS for professional services.
• Managed Workman’s Compensation and no-fault claims.
• Conducted audits and coding reviews to ensure all documentation was complete and accurate.

St. James Mercy Hospital Hornell, NY
Patient Financial Representative 2005 – 2009

• Daily data entry and posting of billing and patient charges.
• Provided service to patients regarding queries and concerns; worked closely with insurers to provide follow-up as needed.
• Facilitated and negotiated resolution of patient accounts and billing disputes.
• Managed electronic Medicaid billing.
• Input and secure handling of confidential health information and financial data.

Medical Billing and Coding Forum

Experienced Certified Professional Coder seeking full-time remote coding position

10525 Plum Creek Dr ● Shreveport, La 71106 Cell Phone (318) 364-9832 ● Email [email protected]

 Teaching Hospital
 Level 1 Trauma Hospital
 Orthopedic Coder
 Anesthesia Coder
 Ophthalmology Coder  E & M Coder
 EPIC, NexTech & IDX
 Medical Terminology
 Anatomy & Physiology
 Plastic Surgery Coder  Medicare & Medicaid
 Managed Care (HMO, PPO, and POS)
 Microsoft Word & Excel

Certified Professional Coder – AAPC ICD-10 Certification – AAPC E & M Coding Course – AAPC

October, 2015 – Present Financial Coordinator, The Wall Center for Plastic Surgery
Code, file medical claims and follow-up as needed on approved cases. Work daily deposits for three clinics. Bill all daily surgeries for four providers. Run Projected Surgery Income report and audit to keep up-to-date of surgery payments due. Take payments and post to the patients account. Enter Case Tracking Information for all surgeries.

June, 2015 – October, 2015 Team Leader/Coder, Highland Clinic Ophthalmology
Team Leader duties included but were not limited to daily keying in of Charge Tickets for 5 providers, Billing and Insurance. Troubleshoot coding issues, if needed. Liaison between the front office staff and techs. Coordinate employee time off.

November, 2010 – June, 2015 Orthopedic Coder- Revenue Cycle Analyst, LSUHSC
Assigned E&M and diagnoses and operative procedures according to standard procedures to submit claims for reimbursement. Contacted respective physicians concerning classification of diagnoses which were not codifiable. Applied definitions and guidelines to determine the principal diagnosis. Justified coding decisions, when in question and followed-up on denials, claims status, helped patients regarding their accounts.

January, 2010 – November, 2010 Claims Service Specialist, ACS
Coded, entered demographics and processed claims for rehabilitation client and radiology client. Filed claims accordingly and followed-up on status of payments, denials and appeals. Answered phones and helped patients, insurance companies and attorneys.

March, 2008 – November, 2009 Billing Specialist, Healthmax Billing
Medical Coder for Willis Knighton Anesthesiologists. This entailed coding, entering all patient information for billing/filing purposes and entering the charges. Processed patients and insurance company payments (i.e. Explanation of Benefits, checks, credit cards) and filed claims accordingly and followed-up on the status of payments and appeals that were filed. Processed statements, collection letters/late letters and setup payment agreements for patients. Answered phones and offered assistance to patients and insurance companies.

References Upon Request

Medical Billing and Coding Forum

seeking for medical coder job on sight or remote CPC (MACRA) in Virginia.7038642278.

Dear Sir or Mam
I am looking for coding job,i have worked Home health Ericksonliving springfield VA, right now i am working as intern at Loudon medical group,i am doing audit over there. In my past i work as herbal medicine physician i mean as clinical work and also i worked as manager in motel and walmart.So i am hard worker, positive thinker,on time worker, team worker and multitesk worker, also i put my resume now later i put my updated resume.
Also i know microsoft office. we use Pulse,and ESW system at Loudon medical group.
Attached Files

Medical Billing and Coding Forum

Seasoned certified coder seeking full-time remote coding position

3888 Lone Oak Rd SE
Salem, OR 97302
Phone: (503) 999-1895
[email protected]

Chemeketa Community College:

Medical Coding and Billing Certificate
6/11 Dean’s List

Health Information Tech. Certificate
6/11 Dean’s List

Western Oregon University:

Bachelors of Science in Health
Education 2001

Relevant Course:

ICD-10 CM Coding/Reimbursement
CPT-IV Coding/Reimbursement
Advanced CPT- IV Coding
Advanced ICD-10-CM Coding
Medical Terminology
Human Diseases
Health Information Systems
Medical Insurance Billing
Medical Law and Ethics

Selected Accomplishment:

Selected to be a consultant for the ICD-10 change over for October 1, 2015

Medical coding/billing SPECIALIST
Multi-Educated Professional seeking employment in a Remote Medical Office Setting Part-Time

Accomplished, well-rounded coding/billing professional seeking an employment position in Healthcare remote office setting. Self-motivated, innovative, and hard-working individual. Dependable, with a genuine interest for medical coding.

EPIC, NextGen, Optum, Meditech, Epremis, TruCode, SuperCoder, Healthland, GE Centricity, MS Office (Word, Excel, Outlook, Access, PowerPoint)

Diagnostic Imaging 2016 to present
Medical Coder
Assigned ICD 10, CPT, and HCPC codes to all billable visits (Interventional and Diagnostic Imaging)
Trained and mentored prospective coders to the radiology practice.
Reviewed clinical documentation for completeness and billable to insurance.
Assisted the accounts receivable with claim denials and CCI edits.
Communicated and educated the providers regarding coding rules and documentation issues.

Hope Orthopedics 2014-2016
Coding Specialist
Assigned ICD 10, CPT, and HCPC codes to all billable visits (office visits, ED visits, consults, outpatient procedures, etc.)
Reviewed clinical documentation for completeness and billable to insurance.
Assisted the accounts receivable with claim denials and CCI edits.
Communicated and educated the providers regarding coding rules and documentation issues.
In-house consultant for the orthopedic group for the ICD-10 change-over

Samaritan Health Services 2011-2014
Charge Master HIM Coder/Analyst (CDM)
Monitor unbilled accounts and report for outstanding and/or un-coded discharges to reduce AR days.
Abstracts pertinent information from patient records for coding/billing purposes.
Liaison between Application Coordinators and Medical Records for charge issue database.
Verify requested charge issues, CPT codes, and patient information before submitting to processing.
Assist in all set – up and changes to pricing and procedure code tables.

~ Positive Attitude ~ ~ Detail Oriented ~ ~ Organized ~ ~ Problem Solver ~

Medical Billing and Coding Forum


[email protected]

Strategic and detailed healthcare administrator with demonstrated ability to analyze and leverage information for significant business results. Articulate and persuasive communicator who is able to interact with a variety of individuals. Proven ability to maintain detailed oriented while multitasking and while also demonstrating great professionalism.
• Servant
• Intuitive
• Analytical
• Independent
• Passionate
• Finisher

Allina Health John Nasseff Neuroscience Specialty Clinic
2015 – Present
Provider Coordinator- Coordinate and facilitate clinical, patient and provider needs.
• Physician scheduling- template and create on both Outlook and Epic. Manage and create paging system through Amion. Provider reimbursements, provider credentialing- Develop relationships with our telehealth facilities, complete stages of credentialing process.
• Payroll duties- Daily timecard assignments, also develop and manage shift tracking for quarterly totals.
• Patient billing and registration and scheduling- assign billing codes from clinic visits, obtain correct patient information, Patient imaging scheduling and prior authorizations, medical record duties.
• Miscellaneous tasks- Includes any provider needs both small and large, paging issues, hospital issues, order issues, calendar issues, payroll issues, security issues, contract issues, parking issues, etc..

Allina Health United Hospital
2014 – 2015
Health Unit Coordinator- Help coordinate and facilitate flow of inpatient unit while working closely with nursing and managerial staff.
• Help coordinate and facilitate admissions and discharges of patients on unit. Inventory, ordering materials for both patient and staff use.
• Manage and filter phone calls on unit. Customer Service, unit greeter, help direct visitors. Help facilitate and create smooth transition when sending a patient to an outpatient facility. Fax orders, records, call and arrange proper transportation, etc… Daily chart maintenance and prep
• Help charge nurse with flow of unit
• Miscellaneous daily tasks to help nurses maintain workflow and safety of unit.

European Wax Center
2012 – 2014
Assistant Manager- Helped to manage salon staff, complete daily tasks, and increase performance.
• Completed six week management development program. Implemented different processes to improve revenue by developing and achieving both individual and team goals within. Maintain own sales goals.
• Created templates, scheduled, and completed payroll for all staff.
• Attended career fairs, and promotional events.
• Dealt with any customer complaints, comments, and issues in a positive, attentive, and professional manner. Accounts management and handled returns and exchanges.

A Touch of Magic
2016 – 2017
Balloon Twister- Create, develop, and maintain relationships with a friendly, fun, and professional demeanor.
• Create balloon animals for children and adults. This opportunity has helped me to develop wonderful people skills and great patience all while learning a life-long skill.


CPC- A- Granted through passing of AAPC exam
Successful completion of medical coding course through Medical Coding Academy
Practi-Code- Successful completion of an online Medical Coding Internship through AAPC
HUC- Health Unit Coordinator Certified: granted through passing of course and exam through Century College, Maplewood, MN

High School Graduate- Chisago, MN

CPT coding courses, HCPCS, Analytical and Critical Thinking, ICD-10 CM, ICD-9 CM, , Medical Billing and Coding, Customer Service, Multi-Line Phone System, Problem Solving, 10-key, Microsoft Word, Excel, Outlook, PowerPoint, Power Chart, Medical Terminology, Collections, AAPC completion of Praticode

Medical Billing and Coding Forum

CPC with 25+ years medical billing experience seeking remote FT position

I am currently the Business Office Manager at a Primary Care PCMH office with 12 providers. I actively code and audit medical documentation, provide feedback and training to providers, research billing guidelines and payer requirements, insurance benefit and coverage information, refunds, unpaid claims management, Allscripts PM & EHR super user and trainer, A/R management, perform End of Month, and so much more that impacts the revenue cycle. I am a CPC with certified ICD-10 proficiency through AAPC.

I am looking to transition from the office management position to being able to work remotely.

I have a history of coding & billing for the following specialties:
Primary Care and psychology in my current position, anesthesiology, chiropractic, and a large organization made up of multiple specialties such as cardiology, dermatology, ENT, gynecology, urgent care, emergency, infectious disease, urology, internal medicine, neurology, allergy, ophthalmology, and orthopedics.

Contact me for resume details.

Thank you,

Medical Billing and Coding Forum

CPC-A Seeking full-time Medical coding position in Miami,FL


I recently just moved from NYC over to the Miami area. I have completed a course on Medical Coding over the 2017 Spring Semester with LaGuardia Community College and Columbia University Medical Center. Over 120 hours has been completed for the course. I have studied in: Anatomy, Physiology and Medical Terminology, ICD-9/10, CPT-AMA, as well as HCPCS. I just recently earned my CPC certification this past August with AAPC. I am currently seeking employment, so if anyone is looking for a new coder to train and hire, feel free to contact me. If anyone knows any information for anyplace looking to train and work with entry-level coders please let me know as well via reply or private message. All information is greatly appreciated and thank you in advance. I will attach my resume for anyone who is interested

Best Regards,

Logan Velazquez

Attached Files

Medical Billing and Coding Forum

CPC Seeking Immediate Remote Position

Melanie Hampton
Skagway, AK 99840
Phone: 907-382-0381
Email: [email protected]

Dear Sir or Madam,

I am a highly motivated, hard-working individual seeking to continue my love of working in the medical field. On my included resume, please note that I am quite familiar with computers, and am able to adapt to new software quickly. Considering my familiarity with both computers as well as both billing and coding knowledge, I would be an asset to your team.

I feel as if I could be a major asset to your team as I not only have experience with coding and billing but also have experience in different areas of practice; office, family practice, specialty, on-call, hospital and surgical. I do not mind working long hours, odd hours, or extra shifts as needed to get the job done in a timely fashion.

I sincerely appreciate you taking the time to review my resume. I’d be happy to provide greater detail about my skills and experience during an interview. Please contact me at your earliest convenience.

Thank you very much for this opportunity,

Melanie Hampton

(Resume Below)

To find a job that requires hard work and gives a sense of satisfaction with a job well done.

• Microsoft Office proficiency
• Able to work with multiple systems such as Lytec, SOAPware, Phreesia, Centricty and E-MDs.
• Excellent time management skills
• Ability to multitask and prioritize.


March 2016 – present
Medical Biller/Coder
• Research and calmly/rapidly resolve client billing/coding conflicts to prevent loss of clientele. Explain balance billing to patients.
• Properly code office visit notes, surgeries, and on-call hospital stays; submit proper billing electronically & on paper to multiple insurance companies.
• Post payments, correct and resubmit rejected claims. Ensure front desk has properly completed all data entry to cut down on rejected claims.
• Train surgical schedulers on in/out of network benefits, balance billing, online pre-authorizations and obtaining GAP exceptions with all insurance companies.
• Verify eligibility and benefits for patient insurance companies and inform providers/nurses/front office staff what patients are eligible for and what they owe as far as deductible, copay, and/or coinsurance.
• Run reports weekly to keep clean A/R, provide patient refunds as due, and monitor clinic performance.

Oct 2014 – March 2016
Medical Biller/Coder
• Research and calmly/rapidly resolve client billing conflicts to prevent loss of clientele.
• Properly code office visit notes and submit proper billing electronically to multiple insurance companies.
• Post payments, correct and resubmit rejected claims.
• Verify eligibility and benefits for patient insurance companies and inform providers/nurses/front office staff what patients are eligible for and what they owe as far as deductible, copay, and/or coinsurance.
• Keep track of payment plans, follow up on patient collections, and send accounts to collections agency on an as-needed basis.
• Help the front desk with phone calls, checking patients in/out, and resolving scheduling issues.

April 2013 – Oct 2014
Receptionist/Office Assistant
• Answer a multi-line phone system, promptly direct calls, take messages, and answer voice mails in a timely fashion.
• Schedule appointments, check patients in/out, collect demographics, payments, and co-pays.
• Contact patients regarding missed appointments, medications refills, or to schedule appointments.
• Collect and distribute mail, keep track of payment plans, order office supplies and help with light office cleaning.

July 2010 – April 2013
Receptionist/Veterinary Technician
• Answer a multi-line phone system, promptly direct calls, take messages.
• Schedule appointments, pull and prepare charts for upcoming appointments.
• Take animal vitals, give vaccines, and other medications.
• Restrain animals and assist with any task asked by doctors
• Properly prep animal for surgery, monitor oxygen and blood pressure during surgery.

June 2009 – September 2009
• Working in an operating room environment.
• Spin blood down to get the platelet rich plasma to allow doctors to use it during surgeries.
• Run an Autolog machine to auto-transfuse blood during surgeries where a large blood loss is expected or anticipated.



Associate of Applied Science: Backcountry Horsemanship and Wilderness Skills, 2006

• Received AAPC CPC certificate May 2015
• Obtained ICD-10 proficiency August 2015
• Increased revenue by implementing proper coding guidelines
• Decreased patient A/R by utilizing Phreesia to collect correct copays, deductibles, and coinsurances at time of service.

• Dedicated team player
• Resourceful
• Very computer savvy


Medical Billing and Coding Forum