Health Information Management Director

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.

Functional Title: Health Information Management Director 
Job Title: Program Supervisor IV 
Agency: Health & Human Services Comm 
Department: Client Records Sct 
Posting Number: 9626 
Closing Date: 10/10/2025 
Posting Audience: Internal and External 
Occupational Category: Office and Administrative Support 
Salary Group: TEXAS-B-21 
Salary Range: $4,523.16 - $7,253.83 
Pay Frequency: Monthly
Shift: Day 
Additional Shift: Days (First) 
Telework: Not Eligible for Telework 
Travel: Up to 5% 
Regular/Temporary: Regular 
Full Time/Part Time: Full time 
FLSA Exempt/Non-Exempt: Exempt 
Facility Location: San Antonio State Hospital 
Job Location City: SAN ANTONIO 
Job Location Address: 6711 S NEW BRAUNFELS 
Other Locations: San Antonio 
MOS Codes: 0203,0207,0302,0370,0520,0602,0802,1802,1803,2340,5502,6302,6502,7202,7208,7210,7220,7502,8005,8858 
9702,16GX,60C0,611X,612X,63G0,641X,712X,86M0,86P0,8U000,9G100,BOSN,ELC,ISS,MAT,MED,MLES,MSSD,MSSE,MS 
SR,OSS,WEPS 
 

Brief Job Description:

Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of nine psychiatric hospitals, one youth residential treatment facility, and thirteen state supported living centers. The psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below.

The Program Supervisor IV (Health Information Management or HIM Director) performs highly complex (senior-level) administrative and supervisory work, managing the overall goals and policies for the Medical Records department, including both the Electronic Medical Record (EMR) and other required documents related to patient care and treatment. Oversees ongoing records reviews and work-flow management. Assures compliance with requirements from the accrediting and certification agencies, Texas Administrative Code (TAC), and other relevant standards. Oversees the release of information in response to record requests, including requests from the court. Serves as the hospital privacy officer, assuring that the entire hospital remains in compliance with HIPAA standards. Serves as internal consultant on health information management issues (e.g., release of information, confidentiality, information security, information storage and retrieval, and record retention, etc.), as well as integrity and authentication of health record documentation and emergency preparedness for the record system and department. Supervises the work of others. Works under limited supervision, with moderate latitude for the use of initiative and independent judgment.

Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.

Essential Job Functions (EJFs):

Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.

Oversees the medical records system at the hospital. Manages the overall goals and policies, including both the EMR and other required documents related to patient care and treatment. Assures compliance with requirements from the accrediting and certification agencies, Texas Administrative Code (TAC), and other relevant standards. Assures policies and procedures related to the electronic and paper medical record systems are current and in compliance. Compiles, reviews, verifies, and reports the daily census information to designated hospital staff and hospital leadership.

Develops an organized chart tracking and storage system including a process for ensuring retention and de-activation based on retention schedule compliance.

Oversees and monitors timely and thorough medical record reviews and takes action when discrepancies are found related to the integrity and timeliness of the record and information system. Oversees patient information flow and ensures compliance with release of information requests within statutory requirements. Promotes and maintains standards for security conscious awareness and behavior related to protecting Protected Health Information (PHI). Serves as HIPAA Privacy Officer for the hospital.

Oversees the preparation, reconciliation, and closing of all medical records.  Ensures discharged client records are reconciled/finalized within the specified time frames. Verifies the collection, copying, and distribution of medical record requests by mail, fax, secure server, or email.

Supervises and manages assigned staff. Responsibilities include, but are not limited to, reviewing applications, interviewing candidates, selecting and hiring potential employees, scheduling and assigning workload, establishing performance measures, evaluating work performance, providing feedback and guidance, recommending staff development and training, recommending personnel and disciplinary actions, scheduling and approving leave.

Participates and serves on the Medical Records Advisory Committee (MRAC), as well as other hospital performance improvement activities as requested.

Provides technical and functional assistance to staff as well as other general services to various internal (clinical and administrative), and external (e.g., DSHS, HHSC, and regulatory agencies) customers as needed, including assisting with special projects as they occur. Serves as internal consultant on health information management issues (i.e., release of information, confidentiality, information security, information storage and retrieval, and record retention), and standardization of processes associated with medical records. Ensures the integrity and authentication of health record documentation and emergency preparedness for the record system and department.

Assures that all inpatients are on a legal commitment. Serves as the record authority in court as legally required and in certification/accreditation surveys.

Oversees the flow of documentation necessary for all client admissions, registration, continued stay, and discharge medical records. Coordinates with hospital staff for the client’s continuity of care and oversees the discharge packets (preparation and distribution). Oversees the release of information in response to record requests, including requests form the court.

Knowledge, Skills and Abilities (KSAs):

Knowledge of regulations pertaining to medical/legal records including HIPAA privacy statutes, record retention

schedules, accreditation compliance, PHI, de-activation laws, subpoenas, patient record flow, and confidentiality laws

Knowledge of electronic medical records systems

Knowledge of medical and pharmacology terminology

Skills in verbal and written communication

Skills in planning and organizing.

Skills in critical thinking and problem solving.

Skills in in using computers and applicable software (e.g., Microsoft Office Suite)

Ability to use reference materials.

Ability to work as a team player.

Ability to manage and supervise staff.

Ability to create, complete, and update accurate reports, policies, and procedures.

Registrations, Licensure Requirements or Certifications:

Must possess a valid Texas driver license or obtain it no later than 90 days after hire date to drive a state vehicle. Applicants with an out-of-state driver license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy.

Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) credentials preferred.

Initial Screening Criteria:

Two (2) years’ experience managing people and medical records and/or systems.

Additional Information:

Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service.

All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco Center for Youth applicants must be 21 years of age.

Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.

Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. Vaccines may be provided. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures.

Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.

Active Duty, Military, Reservists, Guardsmen, and Veterans:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.

ADA Accommodations:

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Pre-Employment Checks and Work Eligibility:

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

Telework Disclaimer:

This position may be eligible for telework.  Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.