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AHIMA-RHIA test Format | AHIMA-RHIA Course Contents | AHIMA-RHIA Course Outline | AHIMA-RHIA test Syllabus | AHIMA-RHIA test Objectives

Exam Code: AHIMA-RHIA

Exam Name: Registered Health Information Administrator (RHIA)

Total questions: 150 questions (130 scored + 20 pretest / pilot questions)

Time allotted: 3.5 hours (210 minutes)

Passing score: Scaled score of 300 (on a 100–400 scale)

Scoring method: The 20 pretest questions are unscored (do not count toward the final result), and they are distributed randomly throughout the exam.





- Data and Information Governance

- Evaluate the integrity of the health record documentation

- Apply knowledge necessary to process the required clinical data elements for quality reporting (e.g., facilitycommittees, payers)

- Understand and apply data dictionary standardization policies

- Manage documentation and data standards based on organizational policy

- Complete data analysis to inform management

- Develop policies and procedures for health record data, documentation management, and information governance

- Comply with retention and destruction policies for health information

- Manage the integrity of the master patient index (MPI)



- Compliance with Access, Use, and Disclosure of Health Information

- Manage patient access to their health information, including use of patient portals

- Advocate for patients and families in the process of obtaining health information

- Process health information requests according to legal and regulatory standards

- Monitor access to protected health information (PHI) internal and external to the organization (e.g., health information exchange (HIE))

- Develop health information request workflows to comply with legal and regulatory standards

- Follow breach of information protocols

- Ensure compliance with privacy and security initiatives (e.g., cyber security, disaster recovery)



- Data Analytics and Informatics

- Support end users in EHR applications

- Create reports and visual representations of data

- Use database management software and techniques (e.g., data mining)

- Audit documentation using a focused tool (e.g., CDI, quality, safety)

- Optimize health information and other technologies to Excellerate workflows

- Support health information exchange solutions

- Examine software applications and integrations for the impact to health information

- Understand the information systems development life cycle, including the analysis, design/development,implementation, maintenance, and evaluation phases

- Validate healthcare statistics for organizational stakeholders



- Revenue Cycle Management

- Educate providers on various reimbursement models

- Validate coding accuracy

- Monitor department of health and human services (HHS) clinical documentation requirements

- Conduct clinical documentation integrity (CDI) activities in support of revenue and quality improvement initiatives

- Support the claims management process (e.g., CDM maintenance, DNFB analysis, and A/R management)

- Assign diagnoses and procedure codes and groupings according to official guidelines

- Conduct revenue integrity activities (e.g., coding audits, denials management, and fraud prevention)



- Management and Leadership

- Develop and implement goals and strategies, including change management to support organizational initiatives

- Demonstrate knowledge of contracting/outsourcing processes

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

- Perform and oversee work design and process improvement activities

- Facilitate training and development

- Prepare and implement budgets

- Assist with accreditation, licensing, or certification processes

- Monitor organizational compliance with health laws, regulations, or standards

- Demonstrate knowledge to lead or facilitate project management

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