How to Answer: If a claim is denied due to incorrect coding what would you do?
Advice and answer examples written specifically for a Medical Coder job interview.
25. If a claim is denied due to incorrect coding what would you do?
How to Answer
We are all human and make errors. If a claim is denied to to incorrect coding you are able to evaluate and re-file appeals of patient claims. Has this happened to you? Did you fat-finger a key? That's ok! Share a story with the interviewer of how this happened...but more importantly how you fixed it and how you learned from it.
Written by Heather Douglass
Anonymous Interview Answers with Professional Feedback
Anonymous Answer
"Denied claims must be investigated as soon as they are received. After reviewing, amend the claim with the correction."
Chad's Feedback
Good answer! The steps you have outlined to correct a denied claim are accurate. If you have ever had a claim denied due to incorrect coding, share the story with the interviewer. Be sure to include relevant details, such as what the incorrect code was that resulted in the denial of the claim, how you fixed it, what the end result was, and most importantly, what you learned from the experience.