Job Description

JOB SUMMARY

Medical Record Retrieval and HEDIS Gap Closure

The Provider Engagement Intern supports the Health Plan's Provider Engagement and Quality Improvement teams by conducting onsite medical record retrieval at provider offices to support HEDIS® gap closure and quality improvement initiatives. The intern will work directly with provider practices to locate, review, and securely retrieve clinical documentation needed to validate completion of targeted HEDIS services, with a primary focus on high-priority and triple-weighted measures, including, CIS – Childhood Immunization Status, IMA – Immunizations for Adolescents, BPD – Blood Pressure Control for Patients with Diabetes – CBP-Controlling High Blood Pressure and additional HEDIS measures may be assigned based on Health Plan performance priorities and quality improvement needs. The intern serves as an extension of the Provider Engagement team in the field and will help strengthen relationships with provider offices while supporting timely and accurate collection of medical records needed to close identified quality gaps.

KNOWLEDGE, SKILLS & ABILITIES

• Work from Health Plan-provided member and gap lists to locate appropriate clinical documentation within the provider's medical record system.
• Travel to assign primary care, pediatric, and other provider offices to retrieve medical records for members with identified HEDIS gaps.
• Retrieve and review records for completeness and Identify documentation that may potentially satisfy an open gap and submit records through the Health Plan’s established secure
• Strong organizational and time-management skills, as well as professional communication and interpersonal skills.
• Comfortable interacting with physician practices and provider office staff, Ability to maintain confidentiality when working with sensitive health information.
• Basic proficiency with Microsoft Office applications, Ability to learn medical terminology, HEDIS measures, and medical record documentation requirements.
• Ability to work independently while traveling between assigned provider locations and maintain strict confidentiality of member information and medical records.

Preferred Experience

• Coursework or experience in healthcare, quality improvement, medical records, health information management, or managed care.
• Familiarity with electronic medical record systems.
• Basic understanding of HEDIS or healthcare quality measures.
• Experience working in a physician practice, medical records department, health plan, or healthcare setting.

REQUIRED EDUCATION:

• Candidate must be currently enrolled in an undergraduate program, should be a freshman or sophomore with a minimum GPA of 3.0 or higher and pursuing a degree with preference in the following areas –public health, healthcare administration, nursing, health information management, health sciences, business, or a related field.
• Able to commit to the full-time, 10-week internship program
• Candidate must possess unrestricted authorization to work in the United States.