Vijaya Lakshmi Gokivada
Glen Allen,Virginia
Summary
Detail-oriented Certified Professional Coder (CPC) with a strong foundation in medical coding, clinical documentation, and healthcare administration. Experienced in ICD-10-CM Dx Coding, medical record review, and compliance with CMS and HIPAA guidelines. Background as a Registered Nurse , bringing strong clinical knowledge and attention to detail. Seeking a Medical Claims reviewer or Medical Coder position to support accurate coding, billing integrity, and regulatory compliance.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Medical Coder
MAHATHI IT SOLUTIONS
Hyderabad, India
01.2025 - 11.2025
- Reviewing medical records and assigning ICD-10 CM codes to the diagnoses according to client specific guidelines.
- Maintaining accuracy and integrity.
- Ensured strict adherence to established coding guidelines, third-party reimbursement policies, regulations, and accreditation standards.
Medical Coder
SPY HEALTH
Hyderabad, India
01.2020 - 09.2022
- Accurately apply ICD-10-CM, CPT, and HCPCS Level II codes to medical records while emphasizing precision and adherence to compliance standards.
- Achieve a coding accuracy rate of 95%, leading to a substantial reduction in denial rates and a notable revenue boost for the organization.
- Engage actively in coding team meetings, where we deliberate on coding guideline revisions and collaboratively address intricate cases.
Registered Nurse (RN)
Virinchi Hospitals
Hyderabad, India
03.2016 - 01.2019
- Maintained accurate patient documentation in EHR systems.
- Collaborated with physicians to ensure complete clinical documentation.
- Supported compliance with hospital policies and patient safety standards.
- Developed a strong foundation in clinical terminology and healthcare workflows.
Education
Master of Business Administration (MBA) - Hospital Administration
Nagarjuna University
India12.2018
Bachelor of Science (B.Sc Nursing) -
Dr. NTR University of Health Sciences
India12.2015
Skills
- Diagnosis coding (ICD-10-CM DX)
- Medical record and chart review
- Coding compliance and accuracy
- Documentation analysis
- CMS and payer guidelines
- EHR / EMR Systems
- 3M & Encoder
- Medical Terminology
- Anatomy & Physiology
- Microsoft Word and Excel
- HIPAA Compliance
Certification
- Certified Professional Coder (CPC), American Academy of Professional Coders (AAPC)
- ICD-10-CM DX
- Medical Terminology, Anatomy & Physiology
- HIPAA and CMS Guidelines
Timeline
Medical Coder
MAHATHI IT SOLUTIONS
01.2025 - 11.2025
Medical Coder
SPY HEALTH
01.2020 - 09.2022
Registered Nurse (RN)
Virinchi Hospitals
03.2016 - 01.2019
Master of Business Administration (MBA) - Hospital Administration
Nagarjuna University
Bachelor of Science (B.Sc Nursing) -
Dr. NTR University of Health Sciences