Utkarsha M

Results-driven team leader specializing in clinical operations, medical coding, and compliance. Demonstrated success in enhancing team performance through targeted mentoring and ongoing process improvements.

Team Lead at Sagility India Pvt. Ltd. (2026-04 – Present)

• Lead and manage a team responsible for Medical Coding, Cost Review, Medical Necessity Review (MNR), and Itemized Bill Review (IBR) processes.
• Monitor team performance, productivity, quality metrics, and service-level agreements (SLAs) to ensure operational excellence.
• Provide training, mentoring, and performance coaching to team members to enhance accuracy and efficiency.
• Conduct quality audits, identify process gaps, and implement corrective actions to improve outcomes.
• Analyze operational reports and performance data to drive continuous process improvement initiatives.
• Ensure compliance with client requirements, healthcare regulations, coding guidelines, and internal quality standards.
• Manage workload allocation, resource planning, attendance, and team engagement activities.
• Trained a Japan based AI model (TRUVETA MACHINE LEARNING).

Senior Medical Analyst at Omega Healthcare Pvt. Ltd. (2021-10 – 2026-04)

Promoted to senior medical data analyst in 2022 due to outstanding performance and expertise.

• Reviewed and interpreted medical records to extract clinically relevant information.
• Evaluated clinical documentation for completeness and accuracy.
• Applied ICD/CPT and clinical knowledge while reviewing patient records.
• Worked with US healthcare documentation and payer-related clinical information.
• Performed quality review and ensured compliance with client guidelines.
• Mentored junior analysts on abstraction methodologies and project workflows.

Bachelor of Dental Surgery in Dental Surgery – Maharashtra University of Health Sciences, Nashik (2019-08)

Fellowship in General Dentistry

Postgraduate Diploma in Clinical Cosmetology and Lasers