Welcome Back

Google icon Sign in with Google
OR
I agree to abide by Pharmadaily Terms of Service and its Privacy Policy

Create Account

Google icon Sign up with Google
OR
By signing up, you agree to our Terms of Service and Privacy Policy
Instagram
youtube
Facebook

Medical Records Audit Specialist

Zealie
Zealie
0-2 years
Not Disclosed
10 Jan. 8, 2026
Job Description
Job Type: Full Time Remote Education: B.Sc/M.Sc/M.Pharma/B.Pharma/Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Medical Records Audit Specialist – Remote (India)

Location: Remote, India
Employment Type: Full-Time


About Zealie

Zealie is a rapidly growing Medical Billing Services company specializing in the Behavioral Healthcare industry. Our clients include substance use disorder treatment centers, addiction recovery programs, and mental health facilities that are saving lives every day.

Leveraging proprietary technology, Zealie provides data analytics and revenue prediction tools to help clients make strategic business decisions and grow their operations. We are committed to delivering exceptional products and services, and our Medical Records team plays a critical role in achieving this mission.


Job Summary

The Medical Records Audit Specialist is responsible for managing and maintaining accurate, complete, and confidential patient medical records. This includes organizing, filing, retrieving, and verifying medical documentation in both electronic and paper formats, ensuring compliance with regulatory standards, and supporting effective healthcare delivery.

The role requires collaboration with healthcare providers, administrative staff, insurance carriers, and patients, while maintaining strict confidentiality of sensitive information.


Key Responsibilities

  • Ensure timely and complete retrieval of medical records.

  • Maintain familiarity with payer-specific medical necessity requirements.

  • Utilize multiple Electronic Medical Records (EMR/EHR) systems to gather records.

  • Follow up to confirm receipt of submitted medical records.

  • Review and verify patient demographics, insurance, and billing data.

  • Cross-reference billing and authorization software to ensure accuracy prior to submission.

  • Coordinate with insurance carriers to provide documentation and resolve queries.

  • Maintain organized and compliant patient files, with accurate documentation of follow-ups.

  • Demonstrate customer service skills when communicating with internal and external stakeholders.

  • Uphold confidentiality standards in accordance with privacy regulations.

  • Assist with departmental duties, including claim follow-ups, as required.


Qualifications & Skills

  • Strong attention to detail and organizational skills.

  • Proficiency in Electronic Health Record (EHR) systems and medical coding.

  • Knowledge of medical terminology and healthcare regulations.

  • Excellent communication and interpersonal skills.

  • Ability to handle sensitive patient information with discretion.

  • Experience working with payer portals and revenue cycle management.

  • Skilled in record scanning, review, and documentation.


Education & Experience

  • High school diploma or equivalent required; Associate’s degree in Health Information Management or related field preferred.

  • Experience in EHR management and medical billing.

  • Preferred: Experience in behavioral health billing and knowledge of substance abuse and mental health treatment industry.