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Shweta Rana

@shwetarana

I am a certified medical coder with 4 years' experience.

India
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What I'm looking for

I seek a collaborative medical coding role to apply ICD-10/CPT expertise, drive quality and revenue integrity through SIU/audit work, and grow toward coding-audit or CDI responsibilities.

I am a dedicated medical coder with four years of hands-on experience at a leading healthcare services company, working across multispecialty areas including anesthesia, musculoskeletal, surgery, radiology, dermatology, gastroenterology and cardiology. I currently contribute to a Special Investigation Unit (SIU) handling daily encounters and complex records.

I hold a Certified Professional Coder credential (Aug 2022) and strong proficiency in ICD-10-CM, CPT, HCPCS, E/M coding (99202-99215), MDM, modifiers and NCCI edits, with working knowledge of IP DRG. I bring expertise in medical terminology, anatomy & physiology, clinical documentation review and data security practices.

I completed a Bachelor's in Physiotherapy and clinical internships at tertiary hospitals, and have been recognized with multiple internal awards for quality and performance. I am detail-oriented, analytical, a strong communicator and a collaborative team player focused on improving coding accuracy and revenue integrity.

Experience

Work history, roles, and key accomplishments

Optum logoOP
Current

Medical Coder

Optum

Jan 2020 - Present (5 years 9 months)

Provide accurate coding for multispecialty services (anesthesia, musculoskeletal, radiology, dermatology, gastroenterology, cardiology) ensuring compliance with ICD-10-CM, CPT and HCPCS guidelines. Determine EM levels (99202-99215), apply NCCI edits and modifiers, and support SIU investigations, contributing to quality improvements and earning multiple internal awards.

Education

Degrees, certifications, and relevant coursework

Manav Rachna International Institute of Research and Studies logoMS

Manav Rachna International Institute of Research and Studies

Bachelor of Physiotherapy, Physiotherapy

2015 - 2019

Activities and societies: Internship at Hindurao Hospital (Jul 2019–Jan 2020); clinical postings at Asian Hospital (Faridabad), QRG Hospital (Faridabad), IBS Hospital (Faridabad), Sonal-Smriti specially abled school (Faridabad), Manav Rachna Sports Academy, and Manav Rachna campus OPD.

Completed Bachelor of Physiotherapy from Manav Rachna International Institute of Research and Studies (Aug 2015–Jul 2019) with clinical internship experience including Hindurao Hospital and multiple clinical postings in Faridabad.

KC

Kendriya Vidyalaya INA Colony

Higher Secondary Education, Higher Secondary Education

2013 - 2015

Completed higher secondary education at Kendriya Vidyalaya INA Colony (Apr 2013–Mar 2015).

Tech stack

Software and tools used professionally

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Shweta Rana - Medical Coder - Optum | Himalayas