Rhit

RHIT New Test Specifications (Effective October 2011) Number of Questions on Exam: 150 multiple-choice questions Exam Time: 3.5 hours I. Data Analysis and Management (20%) 1. Abstract information found in health records (i.e., coding, research, physician deficiencies, etc.) 2. Analyze data (i.e., productivity reports, quality measures, health record documentation, case mix index, 3. Maintain filing and retrieval systems for health records 4. Identify anomalies in data 5. Resolve risks and/or anomalies of data findings 6. Maintain the master patient index (i.e., enterprise systems, merge/unmerge medical record numbers, etc.) 7. Eliminate duplicate documentation 8. Organize data into a useable format 9. Review trends in data 10.Gather/compile data from multiple sources 11.Generate reports or spreadsheets (i.e., customize, create, etc.) 12.Present data findings (i.e., study results, delinquencies, conclusion/summaries, gap analysis, graphical 13.Implement workload distribution 14.Design workload distribution 15.Participate in the data management plan (i.e., determine data elements, assemble components, set time-frame) 16.Input and/or submit data to registries 17.Summarize findings from data research/analysis 18.Follow data archive and backup policies 19.Develop data management plan 20.Calculate healthcare statistics (i.e., occupancy rates, length of stay, delinquency rates, etc) 21.Determine validation process for data mapping 22.Maintain data dictionaries II. Coding (18%) 1. Apply all official current coding guidelines

2. 3. 4. 5. 6. 7. 8.

Assign diagnostic and procedure codes based on health record documentation Ensure physician documentation supports coding Validate code assignment Abstract data from health record Sequence codes Query physician when additional clinical documentation is needed Review and resolve coding edits (i.e. correct coding initiative, outpatient code editor, National Coverage Determination, Local Coverage Determination, etc.) 9. Review...