Nikki Alexie
Bethel,AK
Summary
Detail-oriented Medical Coder with expertise in ICD-10-CM and CPT coding. Focused on regulatory compliance and data management, ensuring accurate coding and timely submission of medical claims. Proven skills in analyzing medical records and enhancing operational efficiency. Bilingual and self-motivated, committed to supporting healthcare teams and improving patient outcomes through precise documentation and organization.
Overview
21
21
years of professional experience
Work History
Uncertified Medical Coder
Yukon-Kuskokwim Health Corporation
Bethel, Alaska
10.2022 - Current
- Utilized coding software to assign appropriate diagnosis and procedure codes.
- Reviewed and coded medical records, ensuring accuracy and compliance with regulations to support quality patient care.
- Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Assigned diagnosis codes based on clinical findings from lab and radiology reports, facilitating accurate patient treatment documentation.
- Added modifiers to coded narrative diagnoses, verifying accuracy to maintain coding integrity and compliance.
Data Entry Technician II
Yukon-Kuskokwim Health Corporation
Bethel, Alaska
05.2021 - 09.2022
- Entered patient data into electronic health records system efficiently.
- Maintained confidentiality of sensitive patient information consistently.
- Streamlined data entry processes by organizing and updating workflows with team support.
- Resolved data discrepancies in collaboration with healthcare staff, enhancing data accuracy.
- Supported training of new staff on data entry procedures and standards.
- Ensured compliance with healthcare regulations during data handling activities.
- Entered numerical data into electronic systems quickly and accurately following established procedures.
- Created databases, spreadsheets, and reports from collected data.
- Utilized various software programs such as Microsoft Excel to manage large amounts of information efficiently.
- Reviewed and corrected data for deficiencies, ensuring high-quality output before submission.
- Ensured all entered data was accurate, complete and up-to-date before submission.
Medicaid Prior Authorization Specialist I
Yukon-Kuskokwim Health Corporation
Bethel, Alaska
12.2020 - 05.2021
- Process prior authorization requests for medical services and procedures.
- Maintain up-to-date knowledge of insurance policies and regulations.
- Coordinated with departments to gather necessary information for prior authorization decisions.
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
- Reviewed prior authorization requests to ensure accuracy and completeness of required information.
- Conducted detailed medical reviews of prior authorization requests, ensuring adherence to established criteria and protocols.
- Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.
- Identified and addressed reasons for denied claims by collaborating with insurance carriers for effective resolutions.
- Communicated authorization decisions, including approvals and denials, to healthcare providers and patients.
- Utilized medical coding knowledge to accurately process and document authorization requests.
Hostel Technician
Yukon-Kuskokwim Health Corporation
Bethel, Alaska
12.2019 - 06.2020
- Assisted patients and their escorts with room arrangements for hospital appointments.
- Managed quality control, ensuring high customer satisfaction through consistent service delivery.
- Maintained communication with clinics and emergency department to coordinate lodging arrangements for patients.
- Facilitated lodging, meals, and taxi vouchers to support patients and their families during hospital visits.
- Assisted with lodging, meals, and taxi vouchers.
- Prioritized patient safety by implementing protocols and monitoring procedures during patient interactions.
Psychiatric Technician
Yukon-Kuskokwim Health Corporation
Bethel, AK
05.2019 - 09.2019
- Monitored patient behavior and reported changes to the healthcare team.
- Assisted patients with daily living activities and personal hygiene tasks.
- Documented patient progress and interventions in electronic health records.
- Facilitated therapeutic group activities that enhanced social skills and fostered peer connections among patients.
- Maintained a safe environment by enforcing safety protocols and guidelines.
- Observed patient behaviors and reported any changes or concerning issues to the manager.
- Provided direct patient care and monitored patients' physical, mental, and emotional status.
- Maintained accurate records of patient progress including daily notes on individuals' moods, activities, interactions with others.
- Created therapeutic environments through activities designed to reduce stress levels among residents.
- Utilized therapeutic techniques such as positive reinforcement or distraction methods when working with agitated patients.
- Cultivated therapeutic relationships with clients, creating a safe space for open expression and emotional growth.
- Taught clients how to manage their emotions, cope with stress, and develop healthy habits.
- Administered medications prescribed by physicians and monitored patient reactions.
- Encouraged clients to participate in self-care practices like exercise or journaling that promote overall wellbeing.
- Communicated with clients and families effectively building lasting relationships.
- Delivered emotional support and counseling to patients and families, addressing individual needs and promoting mental health.
- Ensured safety and welfare of patients through constant supervision.
- Influenced patients' behavior with interaction, counseling or instruction.
Administrative Assistant
Yukon-Kuskokwim Health Corporation
Bethel, Alaska
12.2018 - 03.2019
- Managed scheduling and calendar coordination for healthcare staff and executives.
- Organized and maintained patient records, ensuring compliance with health regulations and facilitating efficient access to information.
- Assisted in preparing reports and documents for administrative meetings.
- Answered phone calls and emails, providing accurate information to enhance business correspondence and improve client relations.
- Handled confidential documents in an organized fashion according to established protocol.
- Maintained office supplies inventory by checking stock to determine inventory level.
- Greeted visitors professionally, responding to inquiries and directing them to appropriate personnel to streamline communication.
- Scheduled appointments between clients and customers and internal staff members.
Uncertified Medical Coder I
Yukon-Kuskokwim Health Corporation
Bethel, Alaska
03.2017 - 06.2018
- Reviewed medical records to ensure accurate coding and regulatory compliance.
- Assigned ICD and CPT codes to diagnoses and procedures, facilitating accurate billing and record-keeping.
- Executed coding tasks in alignment with established protocols and standards.
Third Party Recovery Specialist I
Yukon-Kuskokwim Health Corporation
Bethel, Alaska
07.2016 - 03.2017
- Verified Medicaid eligibility to facilitate accurate billing for services.
- Generated claims to ensure timely reimbursement for services rendered.
- Conducted Medicaid billing for 5 sub-regional clinics to secure reimbursements.
Personal Care Assistant
Yukon-Kuskokwim Health Corporation
Bethel, Alaska
12.2012 - 12.2012
- Supported daily living activities, ensuring clients' comfort and dignity during bathing and grooming.
- Supported patients with mobility aids, enhancing their independence and comfort.
- Maintained patient hygiene and cleanliness in accordance with health standards.
- Assisted clients with activities of daily living such as bathing, dressing, grooming and toileting.
- Performed housekeeping duties including laundry, vacuuming, dusting, mopping floors and changing bed linens.
- Delivered emotional support through active listening and meaningful engagement, enhancing clients' overall well-being.
- Ensured safety of patients by monitoring environment and responding promptly to any emergency situations that may arise.
- Delivered compassionate care to patients, ensuring their comfort and well-being.
- Prepared meals according to dietary requirements, facilitating proper nutrition and assisting clients during feeding.
Data Entry Technician I
Yukon-Kuskokwim Health Corporation
Bethel, Alaska
09.2010 - 09.2012
- Entered patient data into electronic health records system accurately.
- Collaborated with healthcare staff to promptly resolve data discrepancies, ensuring accuracy in patient records.
- Assisted in training new employees on data entry procedures and systems.
- Maintained confidentiality of sensitive patient information during processing.
- Utilized software tools to streamline data entry processes, enhancing overall efficiency.
- Reviewed data for deficiencies or errors, corrected incompatibilities, and ensured accuracy of output.
- Entered numerical data into electronic systems quickly and accurately following established procedures.
- Ensured all entered data was accurate, complete and up-to-date before submission.
Customer Service Agent
Grant Aviation
Bethel, Alaska
04.2010 - 09.2010
- Assisted customers with flight bookings and itinerary changes.
- Resolved customer inquiries through phone and email communication.
- Coordinated with team members to ensure prompt resolution of customer requests.
- Managed passenger check-in processes and boarding procedures efficiently.
- Resolved customer complaints with professionalism and empathy, fostering a positive experience.
- Achieved high customer satisfaction by delivering accurate and helpful responses.
- Processed refunds, returns, exchanges, and order cancellations according to policy.
Village Operations Registration Technician
Yukon-Kuskokwim Health Corporation
Bethel, Alaska
11.2008 - 10.2009
- Ensured accuracy of records in health systems and databases to support patient care.
- Managed sensitive patient information while maintaining confidentiality standards.
- Enhanced quality assurance by reviewing data entry for accuracy and completeness.
- Managed multiple tasks simultaneously while maintaining attention to detail.
- Verified all documentation prior to submission for accuracy to reduce errors.
- Entered data into the computerized registration system accurately.
- Assisted with registration processes to ensure accuracy and efficiency.
- Adhered to HIPAA guidelines and maintained integrity of hospital policies and procedures.
- Assigned account numbers to patients' visits sent by village clinics.
- Oversaw assigned responsibilities remotely during absence from work to ensure continuity of operations.
Data Entry Technician II
Yukon-Kuskokwim Health Corporation
Bethel, Alaska
11.2007 - 01.2008
- Entered patient data into electronic health records system efficiently.
- Verified accuracy of information in medical documentation regularly.
- Maintained confidentiality of sensitive patient information consistently.
- Organized and updated data entry processes to enhance team efficiency.
- Resolved data discrepancies in collaboration with healthcare staff to ensure accuracy.
- Utilized data management software for tracking patient records effectively.
- Trained new staff on data entry procedures and standards to maintain compliance.
- Ensured compliance with healthcare regulations during data handling activities.
- Maintained confidentiality of sensitive client information at all times.
- Entered numerical data into electronic systems quickly and accurately following established procedures.
- Stored completed documents in designated locations according to established guidelines.
Data Entry Technician I
Yukon-Kuskokwim Health Corporation
Bethel, Alaska
03.2005 - 01.2008
- Entered patient data into electronic health records system accurately.
- Ensured all entered data was accurate, complete and up-to-date before submission.
- Verified and updated medical records to ensure compliance with health regulations and accuracy of patient information.
- Reviewed data for deficiencies or errors, corrected any incompatibilities and checked output.
- Performed data entry activities including entering, updating, researching and verifying information.
- Entered numerical data into electronic systems quickly and accurately following established procedures.
- Collaborated with healthcare staff to promptly resolve data discrepancies, ensuring data integrity.
- Maintained confidentiality of sensitive patient information during processing.
- Maintained detailed logs of data entry projects to identify improvement areas and enhance workflow.
Education
High School Diploma -
Bethel Regional High School
Bethel, AK05-2004
Skills
- ICD and CPT coding
- Medical record review
- Claim processing
- Healthcare regulations
- Data accuracy
- Coding standards
Languages
Yupik Eskimo
Native/ Bilingual
Timeline
Uncertified Medical Coder
Yukon-Kuskokwim Health Corporation
10.2022 - Current
Data Entry Technician II
Yukon-Kuskokwim Health Corporation
05.2021 - 09.2022
Medicaid Prior Authorization Specialist I
Yukon-Kuskokwim Health Corporation
12.2020 - 05.2021
Hostel Technician
Yukon-Kuskokwim Health Corporation
12.2019 - 06.2020
Psychiatric Technician
Yukon-Kuskokwim Health Corporation
05.2019 - 09.2019
Administrative Assistant
Yukon-Kuskokwim Health Corporation
12.2018 - 03.2019
Uncertified Medical Coder I
Yukon-Kuskokwim Health Corporation
03.2017 - 06.2018
Third Party Recovery Specialist I
Yukon-Kuskokwim Health Corporation
07.2016 - 03.2017
Personal Care Assistant
Yukon-Kuskokwim Health Corporation
12.2012 - 12.2012
Data Entry Technician I
Yukon-Kuskokwim Health Corporation
09.2010 - 09.2012
Customer Service Agent
Grant Aviation
04.2010 - 09.2010
Village Operations Registration Technician
Yukon-Kuskokwim Health Corporation
11.2008 - 10.2009
Data Entry Technician II
Yukon-Kuskokwim Health Corporation
11.2007 - 01.2008
Data Entry Technician I
Yukon-Kuskokwim Health Corporation
03.2005 - 01.2008
High School Diploma -
Bethel Regional High School