Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

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

Practice Exam

CPC Practice Exam and Study Guide Package

Practice Exam

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

CPC Exam Review Video

Laureen shows you her proprietary “Bubbling and Highlighting Technique”

Download your Free copy of my "Medical Coding From Home Ebook" at the top left corner of this page

Practice Exam

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

Practice Exam

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

Tag Archives: Coder

New Orthopedic Coder Position at OMG

We are hiring again.

Outsource Management Group, LLC, is seeking an experienced orthopedic coder to work in our office and closely with our numerous orthopedic clients.

This position is to be full-time with all benefits, however,  a part-time position is possible for a candidate that fits perfectly, but is unable to be full-time. This position is to be filled in our office at the address below, if you are unable to work in our office in Bloomington, Indiana, please do not submit a resume for this position.

Acceptable candidates possess either 1 or more of the following:

1. Currently holds a coding certification through AHIMA or AAPC
2. Has 2-3 years experience coding in an orthopedic setting

Resumes can be sent directly to:

Director of Operations, Kathryn Etienne at

or by mail to our office:
2201 W Sudbury Drive, Suite C, Bloomington, Indiana 47403.

Thank you in advance to all interested in a wonderful career with us at OMG, LLC!!

The post New Orthopedic Coder Position at OMG appeared first on Outsource Management Group, LLC..

Outsource Management Group – Outsource Management Group, LLC.


My Dr is wanting to start a g tube clinic. He wants our office nurse to change the g tubes in this clinic. He will not be in the clinic he will be around the hospital or here in the office.
How would this be billed? Would it be billed under him as long as he signs that it was done? I am not sure about RN’s billings. I have only billed for our NP.
Thank you for any help.

Medical Billing and Coding Forum – General Discussion

Experienced OB-GYN coder seeking REMOTE

I have 9 years coding OB-GYN, claim submission, denials, revenue cycle manangement, etc. and am seeking full time opportunity. Tremendous work ethic, extremely fast learner, leadership qualities. Prefer REMOTE as am located in Montana.
Any tips on how to start in REMOTE coding? Should I try on my own as independent or seek employment from a company?

Jenna Seidlitz, CPC

Medical Billing and Coding Forum – Employment General Discussion

Practical Ways To Find A Coder

You are a business owner and you have launched a website of your company to promote your business. Now, it is ideally recommended that you should hire a professional coder who could take care of your website. There are many things that you should necessarily know about coding and how it helps in the maintenance of a website before you should go forward to find a coder who has the right kind of expertise.

First of all, you should know that a coder or a designer not only helps maintain a website but also he or she makes all efforts to keep it highly optimized on search engines. The success of a business depends on its website. If the website gets high online traffic and draws in large number of visitors, your business prospects would get boosted.

Therefore, make sure that you find a designer or a coder who could take care of your website and at the same time ensure that your website gets high online traffic and always remain on the first page of any search engine. At times, finding an experienced coder becomes a daunting task. Therefore, make sure that you take extra care once you trace out an expert coder for your website.

Below-mentioned tips can help you much if you want to know how to find a coder or how to find a designer that can match your requirement.

Browse internet and search popular job websites. It might be a very effective idea to direct your search for an experienced coder towards internet. There are several job portals that specialize in offering this kind of jobs. All you require is to sign in and post your requirement. You would soon have in your inbox dozens of profiles sent from candidates.

Selection of a coder or designer might turn out to be tricky task. Therefore, you should be highly realistic while selecting your required coder. Make sure that the candidate you are going to hire has the experience to use HTML codes and Meta tags.

These things combine to help you find a coder in the best way.

Steve Harmision writes about freelancing jobs and provides fruitful information about best freelance projects. To find a coder or find a designer for your project, please visit

How an RMC Credentialed Coder Can Enhance the Business Side of Any Physician Practice

RMC Registered Medical Coder Certification

Long gone are the days in which physician practices could rely on a single office manager to oversee operations and perform the coding and billing. Today’s practices are under an almost unfathomable amount of scrutiny by auditors and payers, requiring a highly specialized knowledge of the healthcare system. Couple that with electronic medical record (EMR) implementations, the Affordable Care Act, and the recent transition to ICD-10, and you’ll find that many practices are struggling simply to stay in business. In fact, many practices have joined larger groups, hospital networks, or Accountable Care Organizations because of the option to share compliance risk and resources among various participants.

ICD-10 and other regulatory requirements have also inspired a trend toward hiring credentialed coders who can help physician practices navigate regulatory changes with ease. Physicians are beginning to realize that selecting a code in ICD-10 is not a straightforward task. Physicians must choose from among hundreds of codes in an EMR dropdown menu. Even the narrative descriptions for many of these codes differ from their ICD-9 counterparts. Physicians either take the time to choose a correct and specified code—and therefore lose precious productive time—or they simply choose the first code that pops up regardless of its accuracy or specificity. Neither of these scenarios is good for the business side of the practice.


Gaining a financial peace of mind


In a post-ICD-10 world, certified coders provide an added layer of financial security by:

• Validating code accuracy and specificity, which can, in turn, ensure accurate reimbursement and outcomes reporting
• Determining whether documentation supports code assignment (i.e., Do clinical indicators and other details documented in the record match the code assigned?)

    Once this information is verified, billers are able to submit a clean claim with a lower likelihood of denial. Without this added level of review, practices run the risk of sending bills that are subsequently denied and that must be appealed or written off.

    In addition to promoting accurate code assignment, certified coders also enhance these other business processes within the practice: 

    • Clinical documentation improvement (CDI). CDI serves as the backbone of a practice, ensuring that patient severity and complexity is captured within the documentation.
    • Compliance. Certified coders establish ongoing internal audits that target E/M code assignment, diagnosis code assignment, and other high-risk areas identified by the Office of Inspector General and Recovery Audit Contractors.
    • Training and education. Certified coders provide training for all physicians and other staff members about important regulatory and coding changes, keeping everyone one step ahead of auditors.
    • Process improvement. Using data analytics and other tools within the EMR, certified coders monitor denials and identify/address the root cause of any problems. This is critical in ICD-10.


    Looking for the right credential


    Various organizations offer coding credentials and certifications; however, MMI’s Registered Medical Coder (RMC) credential is the only one in the industry that requires an annual retest to ensure ongoing competence. The retest measures coders’ knowledge of important CPT, HCPCS, and ICD-10-CM code changes that affect all specialty areas the majority of practices. An RMC-credentialed coder must also meet these requirements: 

    • Passing score of 76% or higher on the initial certification exam. Note that this is more stringent than any other coding certification industry standard. 
    • 12 CEUs annually.
    • Ability to demonstrate proficiency working in an online environment. MMI’s courses and certification exams are entirely online.


    MMI’s stringent standards for coding certification directly benefits physician practices seeking to maintain the highest degree of compliance. RMC-certified coders are able to identify areas of coding and documentation improvement and articulate important industry changes and their potential effects on the practice. By enabling prospective—rather than retrospective—compliance, RMC-certified coders enhance operational and financial efficiencies. A practice that employs a certified coder is ultimately a more profitable and compliant practice.


    About the Author

    Dari Bonner, RMC, CCP, CHCA
    Dari Bonner serves as the Chief Training Officer at the Medical Management Institute (MMI) where she is able to bring her 22 years of healthcare experience to the table. Dari has extensive consulting & project management experience, with her areas of expertise in both the public & private sector, hospitals, outpatient service centers and large & small physician practices. 


    About the RMC

    The Registered Medical Coder (RMC) certification is ideal for medical coders & billers in the physician office and outpatient setting. The credential is licensed through the Nonpublic Postsecondary Education Commission (NPEC) and is administered online through the Medical Management Institute (MMI). MMI is A+ accredited through the Better Business Bureau (BBB) and has been in business for nearly 30 years. MMI offers online medical coding training to prepare for the RMC Certification Exam. 





    The Medical Management Institute – MMI – Medical Coding News & MMI Updates

    Reflections of a Coder Coach: Ready to Get Back to Normal

    A few weeks ago, it occurred to me that my job hasn’t been “normal” for the last six years.  Right around this time six years ago is when I first went to AHIMA’s ICD-10 Academy and earned my status as a trainer.  Creating and presenting ICD-10 training materials came soon after that and it wasn’t until recently I realized that my job hasn’t been normal for the last six years.  And since I’ve only known my husband for four years, one could argue that he’s never known me when I’m normal… er.. at least when my job is normal!

    As I look around the articles and social media related to coding, a lot has changed in this industry in the six or seven years that I’ve put myself out there as the Coder Coach.  When I first started blogging and meeting once a month with coding students and wanna-be’s, there weren’t a lot of people out there looking to mentor coders.  Now, my voice is one of many as people who never heard of coding before ICD-10 jump on the bandwagon to get a piece of the action.  There have been questions about certifications – which ones to get and how to make sure ICD-10 certification requirements are met.  There have been questions about how to code things we never had to think about before – initial vs. subsequent encounters for injuries and poisonings and root operations based on procedure intent.

    I have to be honest and say that in my abnormal day-to-day life as a coder over the last few years, I’ve had trouble finding my voice and giving advice as a coding mentor.  I no longer feel qualified to tell a coder how to break into the industry because things are so different than they were 20 years ago when I got my start and coding is something that many people are now aware of – not something that people kind of fall into anymore.  Since I fill my days adding to my own intellectual bank by researching procedures and learning how to explain them – and how to code them – I wonder what it is that new coders need right now.  And for everyone who is trying to learn coding, I just want to reach out and give them all a virtual hug because this is, in my humble opinion, about the hardest time to learn this industry.

    This week I am working on something I haven’t done in years.  I’m reading the Final Rule for the 2016 MS-DRG changes.  That is something I used to read and summarize every year for my clients.  And even though the codes are different and there are some new sections to read in this super long file, I had a moment of realization, a sigh of relief if you will, that this… this is normal!  After we flip the switch on October 1 and everyone starts using ICD-10 (because I have pretty much zero faith in our congressmen to accomplish any earth shattering legislation in two weeks when they’re so focused on Donald Trump’s run for president), I’m sure there will be a few things that don’t go as planned.  But for coders, it’s a time for us to return to “normal.”  I miss having a general confidence in assigning codes (although this has gotten better as I train more coders!).  I miss code updates!  Oh, how I miss those code updates!  We’ve had frozen ICD code sets for four years!  I’ve been following the recommendations made to the Coordination and Maintenance Committee and I can’t wait to see which changes they decide to adopt on October 1, 2016.

    And maybe when the dust settles a bit and we see how many people really want to stick with coding in ICD-10, I will find my voice again as the Coder Coach.  I sincerely hope so, because I miss meeting people with a passion to learn about my passion and giving them little nuggets of wisdom to help them make a difference in this industry.

    Coder Coach

    Some Smart Ways To Find Coder

    Computer coders have specialization in computer programming. These professionals are important parts of a website. Computer coders are also known as computer programmers. These professionals are qualified people. Their main job involves writing computer programs. These programs involve specially designed scripting languages.

    If you have a business and it is supported by a website, it is ideally recommended that you should find a coder. However, finding a coder that can match your requirement is not an easy job. Most often, it becomes a challenging task to find a coder or to find a designer with required level of skill. If you try to find out a qualified and experienced coder, be guided by the following tips.

    Advertisements can play effective role in your effort to find a coder. Once you are on a coder-finding campaign, create an advertisement to be published in newspapers and job portals. While starting an ad campaign to find a coder, make sure that you have decided about the type of coder that you are going to recruit. Common eligibility benchmark that involves in the search of a coder is C++. If you need a computer coding professional with some additional qualification and skill, you should mention it in the advertisement campaign that you would initiate.

    Apart from newspapers, you can also post the advertisement on online job boards. While getting your advertisement published, ensure that you have mentioned your own contact number and email address in the advertisement. It would help professional coders get in touch with you.

    Computer coding professionals offer their services both on regular basis and on freelance basis. Therefore, you should have clear picture in your mind how you are going to hire the services of the coding professional. In case you want to find a coder on freelance basis, you can get benefited by any of the various freelance marketplaces that you would find on the internet.

    Steve Harmision writes about freelancing jobs and provides fruitful information about best freelance projects. To find a coder or find a designer for your project, please visit

    Find More Medical Coder Articles

    CPC Exam Requirements – Certified Professional Coder Exam

    An overview of the CPC exam requirements you need to fulfill to appear for the AAPC’s Certified Professional Coder exam. Also includes resources and recommendations to prepare for your CPC exam in any part of the US.

    Read more at:—–Certified-Professional-Coder-Exam

    Medical Coding Exam Prep

    Coder education goes holistic

    Why physician practice coders need to know the front- and back-end of reimbursement

    In a previous post, MMI’s contributing blogger and chief training officer, Dari Bonner, discussed how RMC-credentialed medical coders enhance various business processes within physician practices. This month, I’ll take a deeper dive into the importance of a holistic approach to coder education—and why this matters in today’s regulatory-driven environment.

     A front-to-back approach to coding education

    As reimbursement experts who are well-versed in payer requirements, coders are increasingly pulled into various roles within a practice. Coding may only represent a small portion of a coder’s actual responsibilities. As a result, they must be well-equipped with skills and knowledge to perform a wide variety of duties within practices, medical groups, and clinics.

    In addition, a ‘big picture’ view of reimbursement enhances documentation, coding, and billing accuracy—including the front-end (registration and documentation input) as well as the back-end (denials and appeals). When coders have a front-to-back understanding of the revenue cycle, they can articulate the implications of the codes they assign—and know how to improve processes to ensure compliance prospectively.

    For example, a coder who understands how to build a template in the EMR quickly adapts when new ICD-10 and CPT codes are released. A coder who communicates regularly with payers educates physicians about carrier-specific documentation requirements. A coder who tracks, trends, and manages denials and appeals is able to perform root cause analysis to mitigate denials going forward.

    In general, look for coding educational opportunities that touch on these content areas as part of a single course or as a series of courses:

    • Anatomy and physiology
    • Denial management and appeals
    • Auditing
    • Billing
    • Clinical documentation improvement (CDI)
    • Coding (including carrier-specific coding)
    • Credentialing
    • EMR navigation, code validation, and template construction
    • Practice management
    • Registration


    From a coder’s perspective, why is a holistic approach important? Two words: Job security.


    Preparing for the future

    Coders who possess knowledge of each of the topics listed above are far more marketable than those who don’t. These content areas are critical regardless of the size of the practice or medical group. In addition, each clinical specialty carries revenue cycle nuances important for coders to understand.

    For example, there are a number of procedures for which an NCD or an LCD specifies documentation requirements, including prior treatments and their efficacy as well as billable diagnosis codes. Many payer-specific policies also limit the frequency of a particular procedure as well as a total number of times that procedure is covered during a specified timeframe. Coders should have a working knowledge of the policies that apply the unique patient mix for the practice in which they work.

    As the industry moves forward—and regulatory requirements continue to mount—physician practices will continue to rely on credentialed medical coders who bring a wealth of knowledge to the table. This includes a superior knowledge of coding intricacies and requirements as well as the ability to manage other all aspects of physician practice reimbursement appropriately.


    About the author: Karen M. Fancher, MD, RMC, CPC, CANPC, CFPC

    Dr. Karen M. Fancher is a residency-trained Family Physician who also completed a fellowship in Advanced Women’s Health. Dr. Fancher is an AHIMA-approved ICD-10 trainer and holds specialty coding credentials in Anesthesia and Pain Management as well as Family Practice. Dr. Fancher currently serves as the Educational Trainer at the Medical Management Institute where she is able to assist working certified coders & billers. Dr. Fancher has 20 years of combined experience in the healthcare field, including clinical practice, medical coding, and medical records auditing. She has written presentations on Evaluation and Management Coding for Physicians as well as ICD-10-CM Documentation for Providers and remains committed to helping providers improve their documentation in order to help their coders and billers maximize legitimate revenue. 


    MMI Training & Certification Resources

    Medical Coding (RMC and/or CPC®)
    Medical Billing (RMB)
    Medical Auditing (RMA)
    ICD-10-CM (Coders, Billers, Managers, Auditors, Clinical Staff)  

    The Medical Management Institute – MMI – Medical Coding News & MMI Updates

    Article Review: The Coder Coach Responds to “Industry Disconnect”

    I’m afraid today’s topic won’t be quite the entertainment fodder that many of my readers have come to enjoy because this is a serious topic and one that I am very passionate about. And it deserves a serious blog posting!  Someone recently asked me on my Facebook page what I thought about a recent cover story published in For the Record Magazine.  “Industry Disconnect” by Selena Chavis is a great read for anyone who has been pounding the pavement looking for a coding job.  It is also a must read for any coding professional with hiring power.  In short, this article highlights the biggest threat to the future of the coding industry: the ability to hire, mentor, and train recent grads.

    It’s no secret how I feel about mentoring our future workforce.  My thoughts are well documented throughout the Coder Coach and my colleagues in the state of Colorado know how outspoken I am about the topic of mentoring coders.

    So when I was asked, I thought, wow, what a great topic for my blog.  Here are my thoughts on the article: it illustrates an accurate, although bleak, outlook on the future.  But all is not hopeless.  This article has some great points, but it also brought to mind some myths about coding mentoring and training that I would like to address.

    Myth 1: There is a disconnect between coding schools and employers and no one cares or is doing anything about it
    Partially true.  In general there is a disconnect between schools and employers, as documented in the article.  It is not true that no one cares.  Hello!  Are you reading my blog?  I currently sit on Colorado Health Information Management’s Student Alliance Task Force – a mouthful, I know!  This is an alliance made up of CHIMA members and directors from the local HIM schools and we spend our time trying to figure out how to get better and more meaningful internship experiences for students.  There are a ton of road blocks and we are trying to decide how to break them down.  More on that in a sec.

    Myth 2: Hospitals will only hire people who can hit the ground running
    I hate this myth.  Because, in my experience, there is no such thing as a coder who can hit the ground running.  Okay, that was deep.  Let me repeat with more emphasis,  there is no such thing as a coder who can hit the ground running.  It’s true that new grads take more time and as the article mentioned, there is only so much you can teach in a 2-year program that will prepare people for a future in electronic medical records, privacy and security, coding, cancer registry, and the list goes on.  It is unrealistic to expect new coders to be able to hit the ground running and it’s ridiculous to exclude new grads thinking they won’t have anything to offer.  I have never hired a coder – novice or experienced – who didn’t need on the job training.  It’s true that you can teach an old dog new tricks, but it’s equally true that old habits die hard.  A new coder may not have experience, but as Linda Donahue, RHIT, CCS, CCS-P, CPC mentioned in the article, it is easier to teach new habits than correct old ones.  If you can absorb information like a sponge, you may have a serious future in coding.

    On a side note, I decided to test this no-such-thing-as-hit-the-ground-running theory, so I called up my friend and newest coworker, Sandy Giangreco, RHIT, CCS, RCC, CPC-I, PCS, COBGC, CPC, CPC-H and AHIMA-Approved ICD-10-CM/PCS Trainer (are you getting the impression that Sandy has a little experience?!).  I asked her if she felt like she’d hit the ground running and she said sort of.  Now keep in mind that Sandy has many years of excellent coding experience (and a couple certifications!) and was hired by Haugen Consulting Group as a Senior Consultant.  We don’t have to teach her how to code.  But she is trying to get used to our way of doing things and our training materials so that she can further develop more materials and peer review other content.  She is not up to speed yet.  But it’s only like her second week, so I’ll cut her some slack!

    Myth 3: If hospitals take the time to train people, they will just leave and take those skills elsewhere
    Oh waaaa.  Oops, did I type that out loud?   This is something that industry leaders need to get over.  We no longer live in an era where people pledge allegiance to a certain company and stay there for 30 years and retire to a blissful lifestyle at the age of 62.  When I got my first coding job, my manager and mentor, Lila, told me she knew she wouldn’t be able to keep me but she wanted to give me an opportunity.  And I am so thankful she did.  There are other Lila’s out there who are willing to train you so they can have a hand in training the future workforce as a whole – not just at their own institution.  I think if more people adopted this mentality, the future of the coding field would be bright indeed.

    Myth 4: No one is willing to train on the job
    So it turns out Lila was right.  I worked for her for three years before taking a job as her peer coding supervisor at a sister hospital.  And then she moved on for another career opportunity outside our hospital system.  That was 15 years ago.  Recently our paths crossed again when Lila took a management position with one of my clients.  Last fall I got to travel with her during a training trip and it was so much fun to be back in the company of that person who first gave me a start.  And I was dying to ask her: if you could do it all over again, in today’s climate of EMRs and code-based reimbursement, would you hire a green coder like I was back in the day?  And she said yes.  Here it is almost 20 years since she gave me a chance and so much has changed with coding and HIM and she still feels the same way about training and mentoring.  God bless Lila and every coding manager like her.  We also have a hospital system in Colorado that recently opened their own coding school in preparation for ICD-10 and they are accepting people with baseline coding class experience and placing them into coding positions at the end.  People are willing to train, you just have to find them.

    Myth 5: Experienced coders know more
    Okay, so this may be where I lose some loyal blog readers and for that I apologize.  I will start by saying that I know some really smart, terrific coders who can code like nobody’s business.  And as a coding trainer, I also know a lot of “experienced” coders who don’t know as much as they think they do.  At Haugen Consulting Group, we actually have a training program for experienced coders about coding basics or fundamentals where we get them back to the coding guidelines.  Because they forget.  They get so caught up in the details that they can’t see the forest between the trees.  And it’s not really their fault.  My point is, new coders may have an advantage here – we are trying to get coders back to the guidelines and most students know nothing but those guidelines.  They are also “closer to the books” when it comes to things like anatomy and physiology.  And I cannot stress enough How.  Very.  Important. This. Will.  Be. For. ICD-10.  No coder knows everything – it’s impossible.  I learn more about coding every day and I teach the darn stuff.  That’s actually what I love about it.

    Myth 6: Coding students can’t get hands-on experience because of EMRs
    There is some truth to this.  I hate that word “can’t,” though.  When I did my internship I reported to the hospital every day for 3 weeks like it was my job.  There was a coding unit and all the coders sat together.  I understand that that hospital no longer has a coding unit.  The coders all work from home by accessing the electronic medical record (EMR).  And that’s how most hospitals are these days.  It’s not impossible for students to get hands on experience, but it is challenging.  The main road block here is HIPAA.  The Health Insurance Portability and Accountability Act of 1996 allows for electronic submission of health information and as HIM professionals, we understand the confidentiality and security issues surrounding protected health information (PHI).  As HIM professionals, we have a duty to keep this data confidential but we also have the duty to train new professionals.  We are trying to find ways to bust this excuse, but our first commitment is to the patient and protecting their data.  That’s just something to think about when you complain about the background check you need to go through to get access to a system as a student.  How would you feel if it was your medical record?

    Myth 7: There are not enough coding jobs for students
    Bologna.  I’ve said it before and I’ll say it again.  There may not be a bunch of jobs for “coder,” but there are tons of jobs that are coding related.  Stop searching for coding positions in HIM departments and ending your search there.  Start looking for jobs that have ICD-9-CM and CPT embedded in their job descriptions.  You will learn more than you think just by being around codes.  Plus, if you can get a job in billing, this is a great place to see coding reimbursement in action.

    Wow, this is already way longer than I intended, so I will leave you with this.  I love that Ms. Chavis’s article was the cover story.  I think this is the most critical issue facing our industry today (even more so that ICD-10!). But I don’t want you to walk away from this article thinking that a future in coding is futile.  Get out there and network!  People give jobs to people they know, so go out there and get known!

    If you haven’t found a job in coding, ask yourself if you’ve exhausted every option.  I meet all kinds of people who want to be coders for all kinds of different reasons.  If you want to be a coder only because you want to work from home, stop now.  You won’t be successful.  But if you want to be a coder because you love the detective work you have to do to pull documentation together to get those codes, then there should be nothing on this earth that will stop you.  I see a lot of people making excuses about why they aren’t getting coding jobs, but I firmly believe that if you want it badly enough, you will get there.  I’m no stranger to excuses myself – mostly when it comes to living a healthy lifestyle.  So lately, I’ve been carrying around this quote as a reminder any time I catch myself making an excuse and falling into the role of victim:

    “Ninety-nine percent of the failures come from people who have the habit of making excuses.”
    -George Washington Carver

    I am willing to work with my colleagues to remove the excuses about why we can’t train and mentor.  Are you willing remove excuses for any of your own roadblocks that you’ve put up?
    Coder Coach