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RHIA exam Format | RHIA Course Contents | RHIA Course Outline | RHIA exam Syllabus | RHIA exam Objectives

Exam : RHIA


Exam Name : Registered Health Information Administrator(R)


Questions : 180


Question Type : multiple choice


Scored : 160


Unscored : 20


Exam Time : 4 hours





Domain 1 – Data Content, Structure & Standards (Information Governance) (18-22%)


Tasks:


A. Classification Systems


A1. Code diagnosis and procedures according to established guidelines





B. Health Record Content & Documentation


B1. Ensure accuracy and integrity of health data and health record documentation (paper or electronic)


B2. Manage the contents of the legal health record (structured and unstructured)


B3. Manage the retention and destruction of the legal health record





C. Data Governance


C1. Maintain data in accordance with regulatory requirements


C2. Develop and maintain organizational policies, procedures, and guidelines for management of health information





D. Data Management & Secondary Data Sources


D1. Manage health data elements and/or data sets


D2. Assist in the maintenance of the data dictionary and data models for database design


D3. Manage and maintain databases (e.g., data migration, updates)





Domain 2 – Information Protection: Access, Disclosure, Archival, Privacy & Security (23-27%)


Tasks:


A. Health Law


A1. Maintain healthcare privacy and security training programs


A2. Enforce and monitor organizational compliance with healthcare information laws, regulations and standards (e.g., audit, report and/or inform)





B. Data Privacy, Confidentiality, and Security


B1. Design policies and implement privacy practices to safeguard Protected Health Information


B2. Design policies and implement security practices to safeguard Protected Health Information


B3. Investigate and resolve healthcare privacy and security issues/breaches





C. Release of Information


C1. Manage access, disclosure, and use of Protected Health Information to ensure confidentiality


C2. Develop policies and procedures for uses and disclosures/redisclosures of Protected Health Information





Domain 3 – Informatics, Analytics & Data Use (22-26%)


Tasks:


A. Health Information Technologies


A1. Implement and manage use of, and access to, technology applications


A2. Evaluate and recommend clinical, administrative, and specialty service applications (e.g., financial systems, electronic record, clinical coding)





B. Information Management Strategic Planning


B1. Present data for organizational use (e.g., summarize, synthesize, and condense information)





C. Analytics & Decision Support


C1. Filter and/or interpret information for the end customer


C2. Analyze and present information to organizational stakeholders


C3. Use data mining techniques to query and report from databases





D. Healthcare Statistics


D1. Calculate healthcare statistics for organizational stakeholders


D2. Critically analyze and interpret healthcare statistics for organizational stakeholders (e.g., CMI)





E. Research Methods


E1. Identify appropriate data sources for research





F. Consumer Informatics


F1. Identify and/or respond to the information needs of internal and external healthcare customers


F2. Provide support for end-user portals and personal health records





G. Health Information Exchange


G1. Apply data and functional standards to achieve interoperability of healthcare information systems


G2. Manage the health information exchange process entity-wide





H. Information Integrity and Data Quality


H1. Apply data/record storage principles and techniques associated with the medium (e.g., paper-based, hybrid, electronic)


H2. Manage master person index (e.g., patient record integration, customer/client relationship management)


H3. Manage merge process for duplicates and other errors entity-wide (e.g., validate data sources)





Domain 4 – Revenue Management (12-16%)


Tasks:


A. Revenue Cycle & Reimbursement


A1. Manage the use of clinical data required in reimbursement systems and prospective payment systems (PPS)


A2. Optimize reimbursement through management of the revenue cycle (e.g., chargemaster maintenance, DNFB, and AR days)





B. Regulatory


B1. Prepare for accreditation and licensing processes [e.g. Joint Commission, Det Norske Veritas (DNV), Medicare, state regulators]


B2. Process audit requests (e.g., RACs or other payors, chart review)


B3. Perform audits (e.g., chart review, POC)





C. Coding


C1. Manage and/or validate coding accuracy





D. Fraud Surveillance


D1. Participate in investigating incidences of medical identity theft





E. Clinical Documentation Improvement


E1. Query physicians for appropriate documentation to support reimbursement


E2. Educate and train clinical staff regarding supporting documentation requirements





Domain 5 – Leadership (12-16%)


Tasks:


A. Leadership Roles


A1. Develop, motivate, and support work teams and/or individuals (e.g., coaching, mentoring) A2. Organize and facilitate meetings


A3. Advocate for department, organization and/or profession





B. Change Management


B1. Participate in the implementation of new processes (e.g., systems, EHR, CAC)


B2. Support changes in the organization (e.g., culture changes, HIM consolidations, outsourcing)





C. Work Design & Process Improvement


C1. Establish and monitor productivity standards


C2. Analyze and design workflow processes


C3. Participate in the development and monitoring of process improvement plans





D. Human Resources Management


D1. Perform human resource management activities (e.g., recruiting staff, creating job descriptions, resolving personnel issues)





E. Training & Development


E1. Conduct training and educational activities (e.g. HIM systems, coding, medical and institutional terminology, documentation and regulatory requirements)





F. Strategic & Organizational Management


F1. Monitor industry trends and organizational needs to anticipate changes


F2. Determine resource needs by performing analyses (e.g., costbenefit, business planning)


F3. Assist with preparation of capital budget





G. Financial Management


G1. Assist in preparation and management of operating and personnel budgets


G2. Assist in the analysis and reporting on budget variances





H. Ethics


H1. Adhere to the AHIMA code of ethics





I. Project Management


I1. Utilize appropriate project management methodologies





J. Vendor/Contract Management


J1. Evaluate and manage contracts (e.g., vendor, contract personnel, maintenance)





K. Enterprise Information Management


K1. Develop and support strategic and operational plans for entity-wide health information management

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