RHIA Verified 2026 Edition

RHIAPractice Exam

Master the Registered Health Information Administrator with the official PlanetCert Practice Test. Access real exam questions, professional-grade detailed explanations, and our advanced adaptive simulator. Pass your certification exam on the first attempt.

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Exam Information

Official specifications published by AHIMA

Exam Format

210 min
150
300
Professional/Administrator

Registration

$229 USD
Pearson VUE

Validity

2 years
Complete required continuing education units (CEUs) over 2-year period; Pay recertification fee; Maintain AHIMA Code of Ethics compliance

RHIA Exam Topics and Domains

RHIA is organized into 5 weighted domains. Expect to work with Compliance platforms, EHR systems, Analytics platforms, BI tools, and more.

1

Data and Information Governance

18.5%

Health Record Documentation Integrity

Evaluate health record documentation integrity

Evaluate the integrity of the health record documentation

Clinical Data Elements and Quality Reporting

Process required clinical data elements

Apply knowledge necessary to process the required clinical data elements for quality reporting

Data Dictionary and Standardization

Data dictionary standardization policies

Understand and apply data dictionary standardization policies

Documentation and Data Standards Management

Organizational documentation standards

Manage documentation and data standards based on organizational policy

Data Analysis for Management

Complete data analysis to inform management

Complete data analysis to inform management

Information Governance Policies and Procedures

Develop policies for information governance

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

Retention and Destruction Policies

Comply with retention and destruction requirements

Comply with retention and destruction policies for health information

Master Patient Index (MPI) Management

Manage MPI integrity

Manage the integrity of the master patient index (MPI)

2

Compliance with Access, Use, and Disclosure of Health Information

16.5%

Patient Access to Health Information

Manage patient access including patient portals

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

Patient Advocacy

Advocate for patients and families

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

Legal and Regulatory Compliance for Disclosures

Process information requests per regulations

Process health information requests according to legal and regulatory standards

PHI Access Monitoring

Monitor internal and external PHI access

Monitor access to protected health information (PHI) internal and external to the organization

Health Information Request Workflows

Develop compliant request workflows

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

Breach Protocols

Follow breach of information protocols

Follow breach of information protocols

Privacy and Security Compliance

Ensure privacy and security initiative compliance

Ensure compliance with privacy and security initiatives

3

Data Analytics and Informatics

24.5%

EHR End User Support

Support end users in EHR applications

Support end users in EHR applications

Data Reporting and Visualization

Create reports and visual data representations

Create reports and visual representations of data

Database Management

Use database management software and data mining

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

Documentation Auditing

Audit documentation using focused tools

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

Technology Optimization

Optimize health IT to improve workflows

Optimize health information and other technologies to improve workflows

Health Information Exchange

Support HIE solutions

Support health information exchange solutions

Software Applications and Integrations

Examine software and integration impacts

Examine software applications and integrations for the impact to health information

Systems Development Life Cycle

Understand SDLC phases and methodologies

Understand the information systems development life cycle

Healthcare Statistics Validation

Validate healthcare statistics

Validate healthcare statistics for organizational stakeholders

4

Revenue Cycle Management

21.5%

Reimbursement Models

Educate providers on reimbursement models

Educate providers on various reimbursement models

Coding Accuracy Validation

Validate coding accuracy

Validate coding accuracy

Clinical Documentation Requirements

Monitor HHS documentation requirements

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

Clinical Documentation Integrity (CDI)

Conduct CDI activities

Conduct clinical documentation integrity (CDI) activities

Claims Management

Support the claims management process

Support the claims management process

Code Assignment

Assign codes per official guidelines

Assign diagnoses and procedure codes and groupings according to official guidelines

Revenue Integrity

Conduct revenue integrity activities

Conduct revenue integrity activities

5

Management and Leadership

24.5%

Strategic Planning and Change Management

Develop and implement goals and strategies

Develop and implement goals and strategies, including change management

Contracting and Outsourcing

Contracting and outsourcing processes

Demonstrate knowledge of contracting/outsourcing processes

Human Resource Management

HR management activities

Perform human resource management activities

Work Design and Process Improvement

Work design and process improvement

Perform and oversee work design and process improvement activities

Training and Development

Facilitate training and development

Facilitate training and development

Budget Management

Prepare and implement budgets

Prepare and implement budgets

Accreditation and Certification

Assist with accreditation processes

Assist with accreditation, licensing, or certification processes

Healthcare Compliance Monitoring

Monitor organizational compliance

Monitor organizational compliance with health laws, regulations, or standards

Project Management

Lead or facilitate project management

Demonstrate knowledge to lead or facilitate project management

How do I earn this certification?

Passing RHIA earns the RHIA certification. It sits in the Health Information Management track.

Next Level Options
fellowship_fahima - Fellow of AHIMA (FAHIMA) Highest professional designation - requires significant contributions to HIM field
Alternative Paths
  • ahima_cdip - Certified Documentation Improvement Practitioner Specialization in CDI activities complementary to HIM administration
  • ahima_chda - Certified Health Data Analyst Specialization in healthcare data analysis and informatics
  • ahima_chps - Certified in Healthcare Privacy and Security Specialization in HIPAA compliance and healthcare security
  • ahima_ccs - Certified Coding Specialist Specialization in hospital coding for revenue cycle expertise
  • ahima_ccs-p - Certified Coding Specialist - Physician-based Specialization in physician practice coding
  • ahima_cca - Certified Coding Associate Entry-level coding certification for foundational coding skills

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How to study for this exam?

The most effective way to prepare for RHIA is by using the PlanetCert Simulator to practice questions and review detailed explanations.

What's changed on this exam?

Current Status
  • ACTIVE
  • Last content update: 2023-10-01
  • Announcement date: 2023-05-01
Updates
  • ICD-11 2024 Future exam update likely when US adopts ICD-11 • Release date: 2024-01-01
  • FHIR (Fast Healthcare Interoperability Resources) R5 Increasingly relevant for Domain 3 HIE topics • Release date: 2023-03-26
  • Patient Access APIs CMS Final Rule Affects Domain 2 patient access competencies • Release date: 2023-01-01

Who should take this exam?

Baccalaureate-level HIM program from CAHIIM-accredited institution
OR Master's-level HIM program from CAHIIM-accredited institution
OR Post-Baccalaureate HIM Certificate approved by CAHIIM
OR Graduate from HIM program with AHIMA reciprocity agreement
  • Professional experience in health information management
  • Understanding of medical terminology
  • Knowledge of healthcare privacy and security
  • Experience with EHR systems

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