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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 Boost 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