Summary
Overview
Work History
Education
Skills
Timeline
Generic

Alayla Barnes

Seattle,WA

Summary

My experience as a medical coder has established skills suitable for the role of an HIM Coder II. Medical coding requires attention to detail, understanding complex workflows adapting to changing coding guidelines and company policies, critical thinking, and problem-solving. My experience working on a remote base team has developed my ability to self-start my daily tasks, remain organized, work independently, and collaborate as a team, using phone, email, and Teams. This position will allow me to utilize my knowledge of ICD-9-CM, ICD-10-CM, CPT-4, and HCPCS II coding books while expanding my understanding of coding a highly diversified range of specialties and subspecialties: procedures, labs, outpatient encounters, urgent care, and inpatient professional fees.

Overview

11
11
years of professional experience

Work History

HIM Coder II / Medical Billing and Coding Specialist/ Medical Billing and Coding Specialist (TEMP)

Kaiser Permanente
10.2013 - 12.2022
  • Code hospital, ambulatory surgical center, and clinic services by assigning ICD-9, ICD-10, CPT, and HCPCS codes for facility and professional services delivered to patients by Kaiser Foundation Health Plan of Washington providers and staff using encoding software and coding books
  • Apply knowledge of medical science, medical terminology, anatomy and physiology, and official coding guidelines to select codes
  • Abstract medical information from electronic or paper medical record systems
  • Perform data entry via electronic encoder or manual data entry
  • Maintain KFHPW standards for coding quality and productivity
  • Maintains required certification by pursuing ongoing coding and health information continuing education
  • Track and report productivity based on current departmental processes
  • Track and log other data on coding activities or documentation quality as requested by management
  • Attend staff meetings and trainings as required by management which are held at various Kaiser Foundation Health Plan of Washington locations in the Puget Sound area
  • Support the Kaiser Foundation Health Plan of Washington values of customer focus, accountability, innovation, excellence, and integrity by actively participating in and contributing to improvements in team communications, workflow efficiencies, and enhancements to overall coding quality.
  • Assisted with billing inquiries and provided timely responses to enhance customer satisfaction
  • Generated and submitted invoices based upon established accounts receivable schedules and terms
  • Identified payment trends and adjusted billing processes accordingly to retain customers
  • Maintained accurate records of customer payments

Outpatient Coder / Health Information Technician Coder- Radiology

Seattle Children's Hospital
10.2012 - 07.2013
  • Assign diagnostic and procedural codes to outpatient encounters using ICD-10-CM and CPT codes
  • Abstract necessary clinical information for accurate coding
  • Ensure compliance with coding rules, regulations, and standards
  • Collaborate with healthcare professionals to resolve coding discrepancies and discrepancies in clinical documentation
  • Stay up to date with coding guidelines and industry changes.

Outpatient Coder

Seattle Childrens Hopsital
12.2022 - Current
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Communicated with insurance companies to research and resolved coding discrepancies.
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Monitored changes in coding regulations to provide recommendations for compliance.
  • Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
  • Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
  • Generated reports to identify coding trends and discrepancies.

Education

Associate of Applied Science - Business Management

Eastern Gateway Community College
Seattle
10.2023

Associate of Applied Science - Medical Coding

Renton Technical College
Renton, WA
01.2012

Skills

    • Organization – Remote work following weekly assignment schedule and meeting all project deadlines
    • Adaptability – Willingness to learn changing coding guidelines and KP policies
    • Self-direction– Working independently by using all available internal and external resources
      • Microsoft Office 365 Programs – Daily use of Microsoft programs including Teams, Excel, and Outlook
      • Problem-solving – Critical thinking and good judgment while handling confidential information
      • Customer service – Using interpersonal skills for verbal and nonverbal communication, handling conflict, teamwork, empathy, listening, and maintaining a positive attitude

Timeline

Outpatient Coder

Seattle Childrens Hopsital
12.2022 - Current

HIM Coder II / Medical Billing and Coding Specialist/ Medical Billing and Coding Specialist (TEMP)

Kaiser Permanente
10.2013 - 12.2022

Outpatient Coder / Health Information Technician Coder- Radiology

Seattle Children's Hospital
10.2012 - 07.2013

Associate of Applied Science - Business Management

Eastern Gateway Community College

Associate of Applied Science - Medical Coding

Renton Technical College
Alayla Barnes