Aim: The purpose of this study was to compare the organizational structure and job positions of health information technology in the United States, the United Kingdom, and Iran and to provide an appropriate model for Iran. Methods: This descriptive-comparative study was conducted in 2019. In the first phase of research, health information technology was studied in terms of job position and organizational structure of health information technology in Iran, the United States, and the United Kingdom. In the second phase, based on the information obtained from the first phase, a questionnaire to evaluate the proposed job position in the health information technology discipline was designed. The data were collected from the health information management department of educational hospitals (Chamran, Beheshti, Al-Zahra, Feyz, Omid, and Ayatollah Kashani) and the health information management academic members in Isfahan by the Delphi method. Finally, the data analyzed by using descriptive statistics and SPSS software. The final model was presented based on consensus above 50%. Results: In the United States, the United Kingdom, and Iran18, 49, and one job position were obtained for the health information technology discipline, respectively. Each of these positions in three fields of technology, management and coding was approved by health information technology experts. Conclusion: The study shows that because of being a newfound discipline, the health information technology does not have a transparent organizational structure and an appropriate job position in Iran.