Certified Billing and Coding Specialist (CBCS) — Education and Occupational Skills Completion Assessment

Education and Occupational Skills Assessment

Certified Billing and Coding Specialist (CBCS)

Complete this assessment independently. Every required item must be answered. A score of at least 80% is required.

Participant ID

Enter your AimHigh participant identifier. Do not enter an SSN.

Participant Legal Name

AimHigh Student Email

Identity Attestation

I confirm that I am the participant named above and am completing my own assessment.

Objective Assessment Instructions

Objective Assessment

Select the best answer for each question.

1. Which action best protects patient information during billing work?

Discussing a claim in a public hallway
Using only approved systems and authorized access
Sharing a password with a coworker
Printing every claim

CBCS-MQ-01

2. Which code set is primarily used to report diagnoses in U.S. outpatient settings?

CPT
HCPCS Level II
ICD-10-CM
CDT

CBCS-MQ-02

3. A modifier is generally used to:

Replace all diagnosis codes
Provide additional information about a service
Identify a patient’s employer
Set an appointment time

CBCS-MQ-03

4. When documentation does not support a code, the best response is to:

Guess based on the charge
Select the highest-paying code
Query or follow the approved clarification process
Delete the claim

CBCS-MQ-04

5. A clean claim is one that is:

Submitted without required data
Complete, accurate, and ready for adjudication
Always paid at 100 percent
Sent only on paper

CBCS-MQ-05

6. A denied claim should first be reviewed for:

The employee schedule
The denial reason and supporting documentation
The patient’s social media
A new provider contract

CBCS-FT-01

7. Upcoding is:

Reporting a higher-level service than documentation supports
Correcting a rejected claim
Adding a valid modifier
Verifying eligibility

CBCS-FT-02

8. The most reliable basis for code assignment is:

A verbal guess
The complete provider documentation and applicable guidelines
The patient balance
The appointment length alone

CBCS-FT-03

9. Medical necessity links the service provided to:

The diagnosis or clinical reason
The coder’s preference
The patient’s occupation
The billing date only

CBCS-FT-04

10. A remittance advice commonly explains:

Hiring decisions
How a payer processed a claim
Clinical treatment plans
Office supply orders

CBCS-FT-05

11. Which behavior demonstrates quality control?

Skipping edits to save time
Reviewing codes, modifiers, and required claim fields
Using an outdated codebook
Copying a prior claim without review

CBCS-FT-06

12. If a patient requests help understanding a bill, the best first step is to:

Dismiss the concern
Explain within one’s role and route unresolved questions appropriately
Change the diagnosis
Promise the claim will be paid

CBCS-FT-07

13. A coding compliance policy is intended to promote:

Consistent, lawful, well-documented coding
Maximum charges regardless of records
Informal password sharing
Removal of audit trails

CBCS-FT-08

14. Which task belongs to the revenue cycle?

Claim submission and payment posting
Building electrical repair
Network cabling
Medication compounding

CBCS-FT-09

15. Before releasing billing information to another party, staff should confirm:

Authorization and permitted purpose
The person’s job title only
That the request is urgent
That no record is kept

CBCS-FT-10

Applied Scenario

Applied Workplace Scenario

A claim is returned because a required field is missing and the participant is under time pressure.

Identify the Concern

State the immediate workplace, safety, privacy, or compliance concern.

Authorized Next Action

Explain the authorized next action and why it is appropriate.

Professional Communication

Draft the message or status update that should be sent to the appropriate person.

Required Documentation

Identify what should be recorded in the applicable work record, ticket, chart, or inspection record.

Verification or Handoff

Explain how you would verify resolution or complete a safe handoff.

Cengage Coursework

I completed the required seven-month Cengage coursework and assignments.

Capstone

I completed the required capstone, case, simulation, or applied assignment.

Certification Readiness Review

I completed my national-certification readiness review.

Employment Transition Plan

I completed my employment-transition plan.

Academic Integrity

I completed this assessment without unauthorized assistance.

Program Record Authorization

I understand that AimHigh will retain this submission as program evidence.

score_Q2 or to:

Typed Participant Certification

Type your full legal name to certify that the information submitted is accurate.