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The Texas Health and Human Services Commission (HHSC) is seeking an Assistant HIM Director to oversee and support the management of the electronic health record and related systems at Rusk State Hospital. You will serve as backup to the EHR Site Manager, handle new hire and termination documentation, and collaborate on complex reporting needs.
This role requires strong knowledge of medical records regulations, proficiency with Business Objects/Crystal Reports, and the ability to train and
Date: Nov 6, 2026
Location: RUSK, TX
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: Assistant HIM Director
Job Title: Program Specialist III
Agency: Health & Human Services Comm
Department: IntermedCarePsych Direct Care
Posting Number: 23121
Closing Date: 11/20/2026
Posting Audience: Internal and External
Occupational Category: Healthcare Support
Salary Range: $4,020.33 - $6,335.66
Pay Frequency: Monthly
Salary Group: TEXAS-B-19
Shift: Day
Additional Shift: Days (First)
Telework: Not Eligible for Telework
Travel: Up to 10%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Nonexempt
Facility Location: Rusk State Hospital
Job Location City: RUSK
Job Location Address: 805 N DICKINSON DR
MOS Codes: 16GX,60C0,611X,612X,63G0,641X,712X,86M0,8U000,OS,OSS,PERS,YN,YNS
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 ten psychiatric hospitals, two youth residential treatment facilities, and thirteen state supported living centers. 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.
Attends work on a regular basis and may be required 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.
Serves as Assistant Director of Health Information Management. Assists in management of the electronic health record. Serves as backup to EHR Site Manger/FAM. Process new hire & termination paperwork for LAN, Avatar, MediMar, Business Objects, and CARE. Assist in password resets and fields questions concerning the documentation in the electronic records.
Completes audits on documentation in the electronic medical record for timeliness and accuracy; monitors EHR access for unauthorized access in the medical record.
Performs all clerical tasks assigned, specializing in the department’s more complex tasks. Analyzing and compiling data for reports as needed; creating complex reports; develops/maintains databases on HIM audits; provides expertise relating to medical records in response to inquiries from other departments.
Manages all forms control request. Forms are modified as required, and provide users with accurate, timely information. Maintains a form spreadsheet on campuswide for staff to access.
Serves as backup facility automation manager and HHSC IT Liaison. Schedules for any computer and/or printer moves, cable drops and repairs during the absence of the FAM.
Develop Business Objects/Crystal Reports. Reports are built as needed or requested. Meets with staff requesting reports to develop and create multi use reports.
Plans, assigns, trains, and supervises work of others.
Participates in assigned facility committee meetings or other agency and/or external entities as needed/assigned in the absence of the HIM Director.
Perform other duties as assigned to ensure services are provided. Willingly completes other duties as assigned, including but 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. 5%
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 health records systems
Knowledge of medical and pharmacology terminology
Knowledge of Business Objects and Crystal Reports
Skills in verbal and written communication
Skills in planning and organizing
Skills in critical thinking and problem solving
Skills in using computers and applicable software (e.g. Microsoft Suite)
Ability to use reference materials
Ability to work as a team player
Ability to supervise and provide guidance to staff with work related questions
Ability to create, complete, and update accurate reports, policies, and procedures
Demonstrates workplace professionalism, ethics and values consistent with the HHSC agency and RSH’s mission statement
None
Minimum of 1 year of medical records experience
Minimum of 1 year working with MS Office programs
Preferred experience with pulling queries for information
Preferred experience with writing policies and procedures
Salary Note: The salary offered will follow HHS HR Policy starting salary guidelines which are typically made at or near the minimum of the salary range. For internal applicants, there can be limitations in consideration of applicant’s current classification and salary and is dependent upon available budget. Note: For program areas that have an approved market rate, the starting salary is considered the minimum of the market rate.
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, and HHS OIG list of Excluded Individuals/Entities. 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 and Terrell 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 considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All of these diseases are vaccine-preventable. 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.
If you need assistance completing the online application, contact the HHS Employee Service Center at 1-888-894-4747.
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
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.
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.
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
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.
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