Health Information Management (HIM) Manager

Health Information Management (HIM) Manager
East Houston Medical Center – Baytown, Texas (Coming Soon)

East Houston Medical Center is expanding with a new Baytown,
Texas campus described as a coming-soon facility built to support a rapidly
growing community with modern, accessible healthcare focused on patient
experience, efficiency, and innovation. East Houston Medical Center also
presents itself as a patient-centered acute care hospital emphasizing
compassionate care, modern facilities, experienced physicians, and coordinated
support throughout the patient journey.

East Houston Medical Center is seeking a refined,
experienced, and operationally strong Health Information Management (HIM)
Manager to lead the medical records function for the incoming Baytown facility.
This leader will establish and oversee HIM operations with exceptional
attention to record integrity, privacy, regulatory readiness, documentation
quality, and interdisciplinary collaboration in a hospital environment.

Position summary

The HIM Manager is responsible for the planning,
organization, implementation, and daily leadership of the Health Information
Management department for the Baytown campus. This role oversees chart
completion, record analysis, release of information, document integrity,
privacy practices, and HIM workflow performance while supporting physicians,
nursing leadership, revenue cycle, compliance, and executive operations.

The selected candidate will play a key role in building
department processes for a new facility, ensuring that all health information
practices align with hospital policy, federal law, and Texas requirements
governing protected health information and medical records access.

Essential duties and responsibilities

• Lead
  all HIM department operations, including record management, chart
  analysis, deficiency tracking, release of information, document imaging,
  record completion oversight, and data integrity activities.
  
• Develop
  and implement HIM policies, procedures, controls, and workflows for a new
  hospital campus to ensure compliant and efficient department operations.
  
• Oversee
  the accuracy, completeness, timeliness, and confidentiality of medical
  records in accordance with hospital standards and applicable legal
  requirements.
  
• Monitor
  physician documentation and chart completion practices to support record
  quality, delinquency management, and regulatory compliance.
  
• Partner
  with clinical, case management, quality, compliance, coding, and revenue
  cycle teams to support documentation standards, accurate data capture, and
  operational excellence.
  
• Supervise
  release of information processes and ensure proper authorization,
  disclosure controls, and secure handling of protected health information.
  
• Maintain
  departmental readiness for audits, surveys, accreditation reviews, and
  internal quality monitoring.
  
• Ensure
  HIM practices remain compliant with HIPAA privacy and security
  expectations and Texas privacy requirements under Health and Safety Code
  Chapter 181.
  
• Support
  education and accountability for providers and staff related to
  documentation standards, privacy, confidentiality, and medical record
  completion.
  
• Prepare
  and review HIM metrics, deficiency reports, record completion trends, and
  departmental performance indicators for leadership review.
  
• Assist
  with EHR workflow optimization, scanning standards, retention practices,
  and system-related process improvements affecting health information
  operations.
  
• Hire,
  train, coach, and evaluate HIM staff while fostering a culture of
  professionalism, service, and high performance.
  

Requirements

Minimum requirements

• Bachelor’s
  degree in health information management, Healthcare Administration,
  Business, or a related field required; a degree in HIM is strongly
  preferred.
  
• RHIA
  or RHIT credential required or strongly preferred based on organizational
  hiring preference; Texas HIM employers frequently seek one of these
  credentials for management-level roles.
  
• Minimum
  of 3 to 5 years of progressive HIM experience in a hospital or acute care
  setting preferred, including supervisory or management responsibility.
  
• Experience
  with chart completion, release of information, record analysis, privacy
  practices, and hospital documentation workflows required.
  
• Strong
  working knowledge of hospital accreditation and regulatory standards,
  including CMS and Joint Commission-related record keeping expectations,
  preferred for acute care leadership roles.
  
• Experience
  with electronic health record systems, document imaging platforms, and
  standard Microsoft Office applications required.
  
• Demonstrated
  ability to lead teams, implement new processes, manage deadlines, and
  collaborate effectively with physicians and hospital leadership required.
  

Texas-specific requirements and facts

For a hospital-based HIM Manager in Texas, the role should
reflect both federal privacy obligations and Texas-specific medical records
requirements. Texas covered entities that collect, use, or store protected
health information are subject to the Texas Medical Records Privacy Act in
Chapter 181 of the Texas Health and Safety Code, which adds protections beyond
HIPAA in certain areas.

Relevant Texas considerations for this posting include:

• Knowledge
  of HIPAA privacy and security standards, including lawful use and
  disclosure of protected health information, is required for HIM
  leadership.
  
• Knowledge
  of the Texas Medical Records Privacy Act is required, including
  restrictions on disclosure, patient privacy protections, and compliance
  obligations for covered entities handling PHI.
  
• Familiarity
  with Texas medical record request and release practices is important,
  including authorization standards and state rules affecting fees and
  access processes.
  
• Understanding
  that Texas recognizes patient rights to access medical records and imposes
  privacy obligations on facilities handling health information is essential
  for compliant HIM operations.
  
• Experience
  maintaining confidentiality and proper release controls for sensitive
  records is especially important in Texas because state law may impose
  additional privacy expectations beyond HIPAA alone.
  
• Knowledge
  of CMS, Joint Commission, and hospital documentation standards remains
  important because these frameworks shape record completion, integrity, and
  survey readiness in acute care settings.
  

Preferred qualifications

• RHIA
  credential preferred for candidates leading a full HIM department in an
  acute care environment.
  
• Prior
  experience opening, stabilizing, or improving HIM operations for a new
  hospital, new service line, or growing facility preferred.
  
• Additional
  experience in coding oversight, clinical documentation integrity
  collaboration, audit response, or revenue cycle support preferred.
  
• Membership
  or engagement with the Texas Health Information Management Association may
  be beneficial for continued professional development within the field.
  

Core competencies

• Executive
  presence and professional judgment.
  
• Exceptional
  discretion with confidential information.
  
• Strong
  regulatory and operational insight.
  
• Ability
  to build systems, teams, and workflows in a start-up facility environment.
  
• Excellent
  written and verbal communication skills.
  
• Detail
  orientation, accountability, and process discipline.