RHIT Exam for American Health Information Management Association (AHIMA) Latest Update
The Registered Health Information Technician (RHIT) exam, administered by the American Health Information Management Association (AHIMA), is one of the most respected certifications in the health information management (HIM) field. It is designed for professionals who work in the management, analysis, and protection of health data within healthcare organizations. AHIMA has recently updated the RHIT exam to better reflect the evolving needs of the healthcare industry. These changes ensure that the certification remains relevant, providing healthcare employers with professionals who have up-to-date skills and knowledge.
The RHIT certification exam is an important milestone for anyone pursuing a career in health information management. The exam evaluates the candidate's knowledge and competency in a variety of critical areas of health information management. This includes understanding the fundamentals of healthcare data, ensuring the privacy and security of patient information, performing data analytics, navigating the revenue cycle, maintaining compliance with regulatory standards, and demonstrating leadership skills in HIM. The certification is offered to individuals who hold an associate’s degree in HIM or a related field and have completed requisite coursework or experience.
The RHIT exam is a comprehensive test of knowledge and skills required for HIM professionals. It includes multiple-choice questions that span six key domains, each of which is integral to the management of health information in a clinical or healthcare setting.
In 2022, AHIMA made several significant updates to the RHIT exam. These updates reflect the growing complexity of the health information management field, especially in the context of digital health records, data analytics, privacy regulations, and the increasing demand for HIM professionals skilled in both healthcare operations and technology.
One of the major updates was the addition of new tasks to the exam content outline. These tasks are designed to ensure that candidates are evaluated on their ability to perform new and emerging functions in health information management. Fifteen new tasks were incorporated into the exam, reflecting recent changes in healthcare technologies, such as the widespread use of electronic health records (EHRs), telemedicine, and data analytics. These tasks ensure that the exam remains relevant in the face of technological advancements and evolving healthcare trends.
In addition, some existing tasks were removed from the content outline, while others were consolidated to create a more focused and streamlined test. These changes reflect the evolving nature of the HIM field and the shifting responsibilities of HIM professionals.
Furthermore, the language and terminology used in the exam content were updated for clarity. Outdated terms were replaced with more current terminology to ensure the exam better aligns with modern practices in the healthcare industry.
The RHIT exam consists of six domains, each focusing on specific areas of health information management. These domains serve as the foundation for the exam’s content and are carefully designed to reflect the competencies required of a registered health information technician.
Data Content, Structure, and Information Governance: This domain covers the structure and organization of healthcare data, ensuring its accuracy and completeness. It includes tasks related to data content standards, classification systems, coding, and data governance. It is essential for HIM professionals to understand how to manage and utilize data effectively while maintaining its integrity.
Access, Disclosure, Privacy, and Security: With the increasing reliance on electronic health records and the growing concerns over patient privacy, this domain focuses on managing access to patient information while ensuring that privacy and security standards are upheld. It covers topics such as HIPAA regulations, data access controls, data encryption, and policies related to disclosure.
Data Analytics and Use: This domain addresses the growing role of data analytics in healthcare. HIM professionals must be able to analyze health data for decision-making purposes, ensuring that data is used effectively to improve patient outcomes and operational efficiencies. This domain includes tasks related to clinical data analysis, statistical methods, and the use of health information for performance measurement.
Revenue Cycle Management: This domain emphasizes the management of financial aspects of healthcare, including coding, billing, and reimbursement processes. Understanding the revenue cycle is critical for HIM professionals who are responsible for ensuring that healthcare organizations are paid for services rendered, in compliance with regulations and payer requirements.
Compliance: HIM professionals are expected to be well-versed in healthcare regulations and compliance standards. This domain evaluates the candidate’s ability to ensure that health information management practices comply with federal, state, and local regulations. Topics include risk management, audits, and ensuring that organizational policies align with legal requirements.
Leadership: This domain assesses the candidate’s ability to lead and manage HIM functions in a healthcare organization. HIM professionals often take on leadership roles, such as department managers or directors. This domain includes tasks related to staff management, strategic planning, budgeting, and overseeing HIM operations.
The RHIT exam is composed of 150 questions, 130 of which are scored, and 20 are pretest questions. These pretest questions are used to gather data for future exams and do not count toward the candidate’s score. The exam is timed, and candidates are given 3.5 hours to complete it. The questions are designed to assess the candidate’s competency in real-world scenarios, testing not just their knowledge but their ability to apply that knowledge in a healthcare setting.
The exam is delivered via computer-based testing, which is available at Pearson VUE test centers across the United States. This allows candidates flexibility in scheduling and taking the exam at their convenience.
Preparing for the RHIT exam can be a daunting task, but AHIMA offers several resources to help candidates succeed. One of the primary resources is the RHIT Exam Preparation Bundle, which includes study materials, practice questions, and exam simulations to help candidates familiarize themselves with the exam format and content. This bundle provides over 850 multiple-choice practice questions, two full-length practice exams, and a comprehensive study guide that aligns with the updated RHIT exam content outline.
In addition, AHIMA offers ADVANCE: Health Information Learning Resources Vol. 1, 2024, which includes additional practice exams and questions. These resources are designed to help candidates hone their test-taking skills and ensure that they are fully prepared for the exam.
Candidates can also access AHIMA’s continuing education programs, which offer courses that align with the exam content outline. These programs can help candidates build their knowledge in key areas, ensuring that they meet the exam’s requirements.
Once candidates have passed the RHIT exam and received their certification, they must maintain their certification through continuing education. RHIT certification is valid for two years, and during this period, professionals must complete a specified number of continuing education units (CEUs) to remain certified. Starting in 2025, at least 40% of these CEUs must be earned through AHIMA resources or Component Associations, ensuring that professionals stay updated on the latest trends and practices in health information management.
The remaining CEUs can be obtained from AHIMA Approved Continuing Education Provider Program (ACEP) partners or other third-party providers. This ensures that RHIT professionals continue to develop their skills and knowledge throughout their careers.
The RHIT certification remains one of the most important credentials for health information management professionals. As the healthcare industry continues to evolve with new technologies and regulations, AHIMA has updated the RHIT exam to ensure that it remains relevant. By testing candidates on current and emerging topics in healthcare data management, privacy, analytics, and compliance, AHIMA ensures that RHIT professionals are well-prepared to meet the challenges of today’s healthcare environment.
For anyone seeking to pursue a career in HIM or advance their current career, obtaining RHIT certification is a valuable step. With updated exam content, comprehensive study materials, and a clear path for certification maintenance, the RHIT exam offers a solid foundation for a successful career in health information management.