Clinical Document Specialist ~ Case Management

Clinical Document Specialist ~ Case Management job in Albuquerque, NM

Shift: 1st - Day
Hours: 8am-5pm
Schedule: Full Time

You’re going to LOVE Lovelace!

Lovelace Shared Services: Organizational support departments for all Lovelace facilities including Coding, Finance, Health Information Management, Revenue Cycle, Marketing, and the Resource Team.  We are dedicated to exceeding our customers’ expectations in every way.

Lovelace Shared Services is now hiring a RN - Clinical Document Improvement Specialist - Case Management.

  • The Clinical Document Improvement Specialist works in tandem with medical staff, nursing staff, other healthcare professionals, and coding staff to ensure accurate capture of clinical information through chart review, querying, and education.  Specialists review charts for accurate documentation for reimbursement purposes and for designated core measures and quality indicators. 
  • Ensures the overall quality and completeness of medical record clinical documentation. Facilitates modifications to clinical documentation through concurrent interaction with physicians, nursing staff, other patient caregivers, and coding staff to support that appropriate reimbursement and clinical severity is captured for the level of service rendered to all inpatients.
  • Supports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes. 
  • Educates all members of the patient care team on an ongoing basis.


  • Education:  Bachelor’s degree in a health related profession, or Associate’s degree with relevant healthcare experience (equivalent to bachelor’s), or registered licensed nurse (RN)
  • Knowledge of McKesson Star and HPF, 3M Coding and Reimbursement System, SMART
  • Working knowledge of ICD-9-CM and Prospective Payment System (preferred)
  • Essential Technical/Motor Skills:  Requires excellent observation skills, analytical thinking, problem solving, plus good verbal and written communication.
  • Interpersonal Skills:  Professional, team player, able to communicate well with others on all levels.  Strong interpersonal skills, pleasing personality, positive.  Regular significant contacts with other personnel throughout and outside the Hospital.  Contacts may be in person, by telephone, or through correspondence.
  • Leadership Qualities:  Ability to motivate, teach and facilitate individuals and/or groups on reaching objectives.
  • Minimum 5 years recent clinical experience in nursing or other clinical area, coding, process improvement, or utilization review/case management in an acute care facility.
  • Or minimum of 4 years inpatient acute care experience.  ICU, Critical care experience.
  • Having background in Case Management or Quality RN experience is a plus.
  • RHIA, RHIT, RN (preferred)

Why Lovelace?

  DNV Accredited

  Named to Becker’s Hospital Review’s list of 100 Hospitals with Great Neurosurgery and Spine Programs

  Truven Health Analytics named Lovelace Health System among the top 20 percent of health systems in the country, and is the only health system recognized for this honor in New Mexico

  Named one of the 150 Great Places to Work in Healthcare by Becker’s Hospital Hospital Review

Department / Location

Lovelace Shared Services - Albuquerque, NM