Top 20 Interview Questions & Answers for Medical Billing and Coding Specialists – 2025

Preparing for a job interview as a medical billing and coding specialist? This guide provides a list of 20 up-to-date questions and simple answers to help highlight your skills, experience, and knowledge of the latest industry practices in the field. From assessing your technical abilities to evaluating your cultural fit with the company, these questions cover all key areas of the job.

General Questions

• 1. Why did you choose to pursue a career in medical billing and coding?
  A: I have always been fascinated by the healthcare industry and wanted to contribute in a meaningful way. After researching different roles, I found that medical billing and coding would allow me to utilize my attention to detail and analytical skills while making a positive impact on patient care.
• 2. How do you stay updated on the latest changes and developments in medical coding and billing?
  A: I regularly attend workshops, seminars and webinars, subscribe to industry newsletters and participate in online forums and discussions to stay updated on the latest coding and billing guidelines and regulations.
• 3. How do you handle a high volume of medical codes and billing tasks?
  A: I prioritize my work based on deadlines and urgency. I also use time management techniques such as creating a to-do list and setting realistic goals to ensure all tasks are completed accurately and efficiently.
• 4. How do you handle difficult or sensitive situations with patients or insurance companies?
  A: I always approach these situations with empathy and professionalism. I try to understand the concerns and address them calmly and respectfully. If needed, I can also escalate the matter to my superior for assistance.
• 5. How do you ensure accuracy in medical coding and billing?
  A: I pay close attention to detail and cross-reference codes and information multiple times before submitting. I also follow all coding and billing guidelines and stay up-to-date on the latest changes.

Technical Skills & Experience

• 6. What coding software are you familiar with?
  A: I have experience working with various coding software such as Epic, Meditech, and Centricity.
• 7. What do you consider to be the most challenging aspect of medical billing and coding?
  A: The most challenging aspect is keeping up with the constantly evolving coding and billing guidelines. It requires continuous education and staying updated on changes.
• 8. Can you explain the difference between ICD-10 and CPT codes?
  A: ICD-10 codes are used to describe a patient's diagnosis, while CPT codes are used to identify the medical procedures and services provided to the patient. Both are essential for accurate medical billing and coding.
• 9. How do you handle coding and billing for a complex medical case?
  A: I first review the medical records and consult with the physician to fully understand the case. I then use my knowledge of coding guidelines to accurately assign the appropriate codes and document the procedures for billing purposes.
• 10. How do you handle rejected or denied medical claims?
  A: I review the claim rejection or denial reason and identify any errors. I then make necessary corrections and resubmit the claim with proper documentation and justification if needed.

Behavioral Questions

• 11. Can you tell me about a time when you had to deal with a difficult or upset patient? How did you handle the situation?
  A: In my previous role, I had a patient who was unsatisfied with their billing statement. I listened to their concerns, reviewed the statement with them, and explained the charges in detail. I also offered to speak with their insurance company to resolve any discrepancies. In the end, the patient was satisfied, and we were able to accurately address the issue.
• 12. Share an experience where you had to quickly adapt to a new billing or coding system.
  A: In my current position, we recently switched to a new billing software. I attended training sessions and self-taught myself the new system. I also sought assistance from colleagues and was able to quickly adapt and become proficient in using the new system.
• 13. Give me an example of a time when you encountered a coding error. How did you handle it?
  A: In my previous role, I discovered a coding error that resulted in an incorrect medical bill. I immediately brought it to the attention of my supervisor and worked with them to correct the error, ensure that the patient was not overcharged, and prevent future occurrences.

Situational Questions

• 14. How would you handle a situation where a patient's insurance does not cover a particular procedure?
  A: I would first check if the procedure is medically necessary and if any alternative treatments are covered by their insurance. If not, I would discuss payment options with the patient and inform them of their right to appeal the insurance company's decision.
• 15. Suppose a patient's medical records were lost or damaged. How would you handle this situation?
  A: I would inform the patient and work with them to reconstruct their records with the help of their healthcare provider. I would also ensure that all necessary information is retrieved and included in the updated records.
• 16. How would you handle a situation where a medical bill was sent to the wrong insurance company?
  A: I would first apologize to the patient for the error and then contact the correct insurance company to submit the bill and request for a transfer of payment from the wrong insurance company. I would also review our procedures to prevent similar errors in the future.

Cultural Fit Questions

• 17. What values do you think are essential for a medical billing and coding specialist to have?
  A: I believe integrity, attention to detail, and empathy are essential for a medical billing and coding specialist to have. It is crucial to accurately document and bill for services while also maintaining a patient's trust and ensuring their needs are met.
• 18. How do you handle confidential information and maintain patient privacy?
  A: I understand the importance of patient confidentiality and follow all HIPAA guidelines to safeguard their information. I also limit access to information, use secure systems for communication, and regularly review and update our privacy protocols.
• 19. Why do you want to work for our healthcare facility?
  A: I am impressed by the facility's reputation for providing high-quality care and patient satisfaction. I also appreciate the facility's commitment to staying updated on the latest coding and billing practices, which aligns with my own values of continuously learning and improving.
• 20. How do you handle conflicts or differences of opinion with colleagues?
  A: I believe in open and respectful communication. If a disagreement arises, I try to understand the other person's perspective, and together, we find a solution that benefits both parties. I also believe in the importance of maintaining a professional and friendly working relationship with all team members.