What are the responsibilities and job description for the Clerk I position at Texas Health and Human Services?
Date: May 22, 2026
Location:
HARLINGEN, 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: Clerk IJob Title: Clerk IAgency: Health & Human Services CommDepartment: Client Records SctPosting Number: 17284Closing Date: 06/05/2026Posting Audience: Internal and ExternalOccupational Category: Healthcare Practitioners and TechnicalSalary Range: $2,306.75 - $3,139.75Pay Frequency: Monthly
Salary Group: TEXAS-A-07Shift: DayAdditional Shift: Days (First)Telework: Not Eligible for TeleworkTravel: Up to 5%Regular/Temporary: RegularFull Time/Part Time: Full timeFLSA Exempt/Non-Exempt: Nonexempt
Facility Location: Rio Grande State Center
Job Location City: HARLINGEN
Job Location Address: 1401 S RANGERVILLE RD
Other Locations:
MOS Codes: 0100,0111,0160,0161,0170,3051,3372,3432,4133,6042,6046,6617,6672,15P,3F5X1,420A,42A,56M,68G,741X
8A200,AZ,CS,F&S,LS,LSS,PERS,PS,RP,RS,SK,SN,YN,YNS
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 ten psychiatric hospitals, two youth residential treatment facilities, 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.
Under the direction of the Health Information Management Supervisor and the Health Information Management Director. Responsible for entry of medical/psychiatric dictation by physicians regarding patient assessment, clinical course, and diagnosis, to document patient care and facilitate delivery of healthcare services. Employee actively participates and/or serves in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation.
Services: Entire Hospital
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.
Shall transcribe/enter CWS all MD History and Physicals, Psychiatric Evaluations, AIMS Assessments, MD Progress Notes, MD Discharge Order Notes, in accordance with policy and procedures. Will also be responsible for ensuring the editing and proof-reading of all transcribed reports/CWS entries before printing or filing in the patient records.
Will maintain a current, complete and accurate log of all transcribed reports entered into the patient record.
Will monitor Concurrent Audit Reports to ensure all assessments are completed and finalized within the specified timeframes. Will also provide a copy of such reports to physicians with assessments pending authentication.
Gathers and sorts medical information and documents received from paper sources and systems and prepares for scanning into the electronic health record.
Creates digital images of paper records/documents and completes quality review prior to storing into the electronic record.
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.”
Skills
Knowledge, Skills, and Abilities (KSAs):
Excellent verbal and written communication skills.
Excellent organization and time management skills.
Must be detail oriented and ensure the quality and accuracy of patient records by following state hospital and department policies.
Must be able to use computer programs such as Microsoft Outlook, Word, and Excel.
Knowledge
Knowledge in the review and spelling of medical/psychiatric terminology
Knowledge of federal and state guidelines governing the use and disclosure of protected health information.
Knowledge in the use of electronic medical records.
Proficient in operating office equipment, including high-volume scanners, photocopiers, and printers.
Abilities
Must be able to work independently and productively with staff and external contacts.
Must be able to collaborate across departments to achieve timeframe completion objectives and goals.
Must have the ability to exchange ideas and engage in collective problem-solving.
Must be able to provide excellent customer service.
Must be willing to cross-train in other areas of the HIM Department.
Must be able to ensure that no information, facts, or comments learned in the performance of duty are discussed to protect the confidentiality of the patients served and/or Rio Grande State Center.
Must be able to type at least 40 words per minute.
Registrations, Licensure Requirements Or Certifications
If transporting patients, 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’s license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy.
Initial Screening Criteria
Two years of medical records department job related experience required.
Additional Information
Two years of medical transcription experience required.
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 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 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.
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.
Nearest Major Market: Brownsville
Location:
HARLINGEN, 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: Clerk IJob Title: Clerk IAgency: Health & Human Services CommDepartment: Client Records SctPosting Number: 17284Closing Date: 06/05/2026Posting Audience: Internal and ExternalOccupational Category: Healthcare Practitioners and TechnicalSalary Range: $2,306.75 - $3,139.75Pay Frequency: Monthly
Salary Group: TEXAS-A-07Shift: DayAdditional Shift: Days (First)Telework: Not Eligible for TeleworkTravel: Up to 5%Regular/Temporary: RegularFull Time/Part Time: Full timeFLSA Exempt/Non-Exempt: Nonexempt
Facility Location: Rio Grande State Center
Job Location City: HARLINGEN
Job Location Address: 1401 S RANGERVILLE RD
Other Locations:
MOS Codes: 0100,0111,0160,0161,0170,3051,3372,3432,4133,6042,6046,6617,6672,15P,3F5X1,420A,42A,56M,68G,741X
8A200,AZ,CS,F&S,LS,LSS,PERS,PS,RP,RS,SK,SN,YN,YNS
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 ten psychiatric hospitals, two youth residential treatment facilities, 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.
Under the direction of the Health Information Management Supervisor and the Health Information Management Director. Responsible for entry of medical/psychiatric dictation by physicians regarding patient assessment, clinical course, and diagnosis, to document patient care and facilitate delivery of healthcare services. Employee actively participates and/or serves in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation.
Services: Entire Hospital
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.
Shall transcribe/enter CWS all MD History and Physicals, Psychiatric Evaluations, AIMS Assessments, MD Progress Notes, MD Discharge Order Notes, in accordance with policy and procedures. Will also be responsible for ensuring the editing and proof-reading of all transcribed reports/CWS entries before printing or filing in the patient records.
Will maintain a current, complete and accurate log of all transcribed reports entered into the patient record.
Will monitor Concurrent Audit Reports to ensure all assessments are completed and finalized within the specified timeframes. Will also provide a copy of such reports to physicians with assessments pending authentication.
Gathers and sorts medical information and documents received from paper sources and systems and prepares for scanning into the electronic health record.
Creates digital images of paper records/documents and completes quality review prior to storing into the electronic record.
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.”
Skills
Knowledge, Skills, and Abilities (KSAs):
Excellent verbal and written communication skills.
Excellent organization and time management skills.
Must be detail oriented and ensure the quality and accuracy of patient records by following state hospital and department policies.
Must be able to use computer programs such as Microsoft Outlook, Word, and Excel.
Knowledge
Knowledge in the review and spelling of medical/psychiatric terminology
Knowledge of federal and state guidelines governing the use and disclosure of protected health information.
Knowledge in the use of electronic medical records.
Proficient in operating office equipment, including high-volume scanners, photocopiers, and printers.
Abilities
Must be able to work independently and productively with staff and external contacts.
Must be able to collaborate across departments to achieve timeframe completion objectives and goals.
Must have the ability to exchange ideas and engage in collective problem-solving.
Must be able to provide excellent customer service.
Must be willing to cross-train in other areas of the HIM Department.
Must be able to ensure that no information, facts, or comments learned in the performance of duty are discussed to protect the confidentiality of the patients served and/or Rio Grande State Center.
Must be able to type at least 40 words per minute.
Registrations, Licensure Requirements Or Certifications
If transporting patients, 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’s license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy.
Initial Screening Criteria
Two years of medical records department job related experience required.
Additional Information
Two years of medical transcription experience required.
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 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 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.
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.
Nearest Major Market: Brownsville
Salary : $2,307 - $3,140