Medical Records Audit Specialist
Location: India (Remote)
Employment Type: Full-Time
Work Mode: 100% Remote
Experience Required: 2–5 Years
Industry: Medical Billing | Revenue Cycle Management | Behavioral Healthcare
Job Overview
Zealie is seeking a detail-oriented Medical Records Audit Specialist to support its growing behavioral healthcare medical billing operations. This role is critical in ensuring the accuracy, completeness, and regulatory compliance of medical records submitted to payers. The position involves auditing patient documentation across multiple EMR systems, validating billing and authorization data, and collaborating with internal teams and insurance providers to support timely and compliant reimbursement.
This opportunity is ideal for professionals with experience in medical records auditing, EHR systems, payer documentation, and revenue cycle management, particularly within behavioral health, substance abuse, or mental health treatment settings.
Key Responsibilities
Medical Records Review & Audit
Ensure complete and timely retrieval and submission of medical records to payers
Review documentation for medical necessity across payer requirements
Audit demographic, insurance, and billing information for accuracy prior to submission
Cross-reference billing and authorization systems to validate claim readiness
EMR & Documentation Management
Utilize multiple EMR/EHR platforms to gather, review, and organize medical records
Maintain accurate and well-organized patient files in electronic systems
Scan, review, and quality-check medical records to ensure compliance and completeness
Payer & Stakeholder Coordination
Follow up with payers to confirm receipt of medical records
Communicate with insurance carriers to resolve documentation-related issues
Maintain detailed and accurate account notes within internal systems (e.g., Zealie Zion)
Compliance & Confidentiality
Ensure strict adherence to HIPAA and patient privacy regulations
Safeguard all patient health information and maintain confidentiality at all times
Support audit readiness and regulatory compliance initiatives
Additional Support Functions
Assist with claims follow-up and related revenue cycle activities as required
Provide professional customer service to internal and external stakeholders
Required Qualifications & Skills
Strong attention to detail and organizational skills
Hands-on experience with EHR/EMR systems and medical documentation workflows
Solid understanding of medical terminology, payer requirements, and healthcare regulations
Experience working with payer portals and insurance documentation
Knowledge of revenue cycle management (RCM) processes
Proficiency in record scanning, auditing, and documentation review
Strong written and verbal communication skills
Ability to handle sensitive patient information with discretion and professionalism
Education & Experience Requirements
Education:
High School Diploma or equivalent (required)
Associate’s degree in Health Information Management or a related field (preferred)
Experience:
2–5 years of experience in medical records auditing, EHR management, or medical billing
Prior experience in behavioral health billing is strongly preferred
Familiarity with substance abuse and mental health treatment documentation is an advantage
About Zealie
Zealie is a rapidly growing Medical Billing Services organization focused on the Behavioral Healthcare sector. Supporting substance use disorder treatment, addiction recovery, and mental health providers, Zealie combines proprietary technology, predictive analytics, and revenue optimization tools to help clients make data-driven business decisions. Zealie is committed to operational excellence, compliance, and empowering healthcare providers to focus on saving lives.
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