A community of 30,000 US Transcriptionist serving Medical Transcription Industry


I can't make a decision - help


Posted: Apr 25, 2014

I know I want an RHIA eventually. But I don't know if I want to go straight for an RHIA or get a RHIT then an RHIA. With the RHIT, I'd be able to look for work in two years (or maybe less that that since I have some college credits). It may be as an ROI or medical records, but it would still be a job where I'd be making money, gaining experience, making connections, and getting my foot in the door at a hospital/clinic/doctor's office, etc. I just don't know what do do.

What would you recommend? (I've crossed WGU off my list. Good school, but not for me).

It depends - sm

[ In Reply To ..]
Have you completed any previous schooling? What exactly is your long-term goal as far as career-wise (what kind of job do you want)?

I have some credits - help

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I have previous schooling. Not a lot though. I do want some type of job in HIM, though I'm not sure what kind yet. I just want a decent-paying job where I'm not living hand-to-mouth like I am doing medical transcription, and I feel an RHIA can help get me that. I still need to research job options.

Well, I'm a RHIT - sm

[ In Reply To ..]
and I am working in medical records at $11/hour. This is hardly a great wage. I also work from 3p - 11p, so hardly great hours. I have applied for several coding jobs but was told no due to lack of experience. I don't think getting my RHIT has helped me in any way. I was making more as an MT actually. If I could go back, I would have really thought about what it is that I wanted to do and go for it. I really do not enjoy my job at all. My heart isn't in to organizing charts, making copies, filing, etc. My advice is to think about what you really want to do, what you really enjoy doing and what you can see yourself doing every single day because just jumping into a 4 year degree with possible student loan debt is a big decision.
Thanks nm - help
[ In Reply To ..]
nm
Whatever RHIA qualifies you for ... ? - sm
[ In Reply To ..]
I think you do need to do a lot more research, because your understanding of this career field seems to be very vague.

You do not need an RHIT to work in medical records and ROI -- you can get those $11/hr jobs now.

RHITs and RHIAs do not normally work in doctors' offices. They work primarily in hospitals and larger facilities. Offices don't even know they exist.

You do not need an RHIT or RHIA to code. If you want to code, you can do so with a 4-month online course from AAPC. Nobody should undertake a 4-year degree in RHIA -- which will take about 6 years and tens of thousands of dollars -- just to get a job coding at the end. That is bad planning.

You can learn to code, start coding, and THEN continue on to an RHIT and RHIA. That is better planning.

I think a key to this is your reason for thinking WGU isn't the school for you. If it is the amount of work required, or the independent nature of the educational program, or the type of courses required, you need to think twice about RHIA, because that's what the job is like today, too. It will be even more like that in the future. It is not a particularly easy major, either, and it involves a registry exam at the end that has a failure rate of about 40%.

The reason someone asked about previous education was to help estimate how long an RHIT would take. Unfortunately, few colleges are likely to accept those courses in transfer, especially if you took them more than 5 years ago.

Just so you know, an RHIT will take about 3 years at most schools. Going on to the RHIA often takes 3 more.




Your time frames are way off. sm - RHIA is a four-year degree.
[ In Reply To ..]
And you can take the registry exam without job experience.
Get the RHIA if you want to fast track to management.
The time frames are not off - sm
[ In Reply To ..]
No, the time frames are not very far off. The fact that something is a 2 or4-year degree does not mean it can be completed in 2 or 4 years.

Many community colleges have so many prerequisites that it takes an extra semester to complete them before the student can even be accepted in the HIT program. It can take a semester before that to get through remedial math and everything else for some students.

Many colleges offering the last 2 years require students to complete their own prerequisites and general courses on top of what they already took. That can add another semester or two.

In addition to that, going part time drags it all out.

Believe me, I mapped out every program in the country trying to find one for myself. Unless you can do a 4-year program at one university, full time, it is likely to take an extra 2 years.

I completed it in 4 years, as did all my classmates. sm - Feather Tuscadero
[ In Reply To ..]
Of course if you're only taking 1-2 classes at a time it will take you longer. But don't scare someone off from the start by telling them that it WILL take 6 years.

Not trying to scare them off - sm
[ In Reply To ..]
Just informing them of what can happen, so they know to look for a pair of schools that (1) don't require a bunch of prerequisites before the 2 years starts and (2) agree to accept transfer credit.

If you went to a 4-year school and didn't have to do any make-up courses before you were even allowed into math and English, you didn't have this problem. Students at community colleges often do, and they have it again when they transfer.

The college near me requires A&P as a prerequisite for HIM 101. However, in order to get into A&P, which you have to take before being admitted to the HIM program, you have to meet the prerequisites for it. College algebra, English composition, and general science. If you can't place out of it, which most students can't, the prerequisite for college algebra is college math. Since they are one semester long each and have to be taken in sequence, students end up taking college math one semester, then college algebra and general science the next, then A&P. At that point, they can be admitted to the HIM program, which has so many courses offered so infrequently that it's a miracle if you can do them in 2 years. That's 3 years total, if you go full time.

One program offering only the upper 2 years simply refused to take any general requirements from a community college. They would take them from a CC in their state, but not another.

A third program required students to make up the general requirements, including 4 semesters of religion, plus take another 4 semesters while in the program. Those hours just added and added up.

I finally found a school that wasn't nuts, but I had to look at the requirements of every school in the entire list.

Now, you can do the HIM program at WGU from start to finish in only about 2.5 years. They didn't have that back then.

More schools are now dropping the "residency requirement" where you have to attend sessions every summer at the school itself if you intend to complete the rest online, but they get you coming and going with their refusal to accept transfer credits.

All those religion classes would turn ME away! nm - Feather Tuscadero
[ In Reply To ..]
zoiks

My suggestion would be... - sm

[ In Reply To ..]
As long as you have the momentum, go straight on for it. Once you are working and making money, it is harder and harder to quit and go back to school, or even go to school part time (which takes forever). Go for it and good luck!

Thanks! nm - help

[ In Reply To ..]
nm

I'm an RHIT also - new coder

[ In Reply To ..]
I graduated from Rasmussen College with my RHIT in September and got hired as a medical coder straight out of school. I code outpatient charts and make 18.55 an hour with no nights or weekends unless for overtime. The program I went to is designed so that the first 2 years of your RHIA are the same exact classes needed for an RHIT and in fact you need an RHIT to earn your RHIA. I like the RHIT by the fact that it is so broad and you can do anything from coding to medical records to compliance, EHR, management, the list goes on and on. Also the facility I work for only takes coders with an associate's degree. Not sure about other facilities but that is just how mine does it, which is Mayo Clinic. All of this is just my opinion.

Question sm - help

[ In Reply To ..]
Congrats on getting your RHIT and a good job. :) Do you enjoy coding?

My question is, Mayo only hires coders with a RHIT? They wouldn't hire someone with a higher degree, an RHIA, to do coding?

question on RHIT - Coding

[ In Reply To ..]
Yes I do enjoy coding especially the analytical aspect of it. I transitioned from Transcription which is totally different so it was a huge change. By RHIT I meant that that is the minimum required level of education. They would hire an RHIA although the RHIA education is going to be rich in management courses. I just meant they wouldn't hire someone with a certificate or a diploma in coding. Does this answer your question?
Yes that answers it, thanks. :) nm - help
[ In Reply To ..]
nm
RHIT vs RHIA - sm
[ In Reply To ..]
The difference between an RHIA and RHIT is not exactly that the RHIA is "rich in management courses," especially in the sense of "people management." It is more that the RHIA takes subjects to a deeper and more detailed level. For instance, many RHIA programs make you retake the courses you took for the RHIT because the RHIT course did not go far enough. It used an "overview" book or only went half-way.

The RHIT, because it is only 2 years of training, mostly goes only to the level of applying knowledge to the "simple interpretation of limited data." The RHIA has a whole 4 years, so it goes further toward to "the application of knowledge to solving a specific problem and the assembly of various elements into a meaningful whole."






This is the description of the RHIA: Working as a critical link between care providers, payers, and patients, the RHIA is an expert in managing patient health information and medical records, administering computer information systems, collecting and analyzing patient data, and using classification systems and medical terminologies. RHIAs possess comprehensive knowledge of medical, administrative, ethical and legal requirements and standards related to healthcare delivery and the privacy of protected patient information. They often manage people and operational units, participate in administrative committees, and prepare budgets.




This is the description of the RHIT: Professionals holding the RHIT credential are health information technicians who ensure the quality of medical records by verifying their completeness, accuracy, and proper entry into computer systems. They may also use computer applications to assemble and analyze patient data to improve patient care or control costs. RHITs often specialize in coding diagnoses and procedures in patient records for reimbursement and research. With experience, the RHIT credential holds solid potential for advancement to management positions, especially when combined with a bachelor's degree.
RHIT - verses RHIA
[ In Reply To ..]
I actually got told by my school if I wanted to continue on for my RHIA at any point I would not have to retake any of my classes. I also got told that one of the requirements to become an RHIA is to have the RHIT. The one person in my department that has an RHIA is the regional director of HIM. My program director was also an RHIA. This is just my experience at my school and maybe for yours you would have to retake the RHIT portion.
RHIA versus RHIT - Familiar with this
[ In Reply To ..]
OK, your school said you would not have to retake anything. Is this Rasmussen? What they may have meant was if you went on with THEM you would not have to retake anything. This is the usual case when you stay at any school.

That does not guarantee that you would not have to retake anything if you switched schools. Students are often most unpleasantly surprised to find that colleges are under no obligation to accept credits from anyone else, and that they often do not.

It also does not mean that you would not have to take another, similar but higher-level course that includes more material.

Your school also spoke for themselves when they said you needed an RHIT for the RHIA. Perhaps THEY require it ... it would be a fine money-maker ... but many colleges do not. AHIMA has no such requirement.

How do I know that? The AHIMA website for one. Also, not one of the RHIAs I know, and I know loads of them, ever had an RHIT. I happen to have an RHIA, as well, and never did an associate's degree program or the RHIT.



Thanks - for explaining
[ In Reply To ..]
I think I always include in my posts that these are my own experiences. What do you do with an RHIA anyways?
I am also an RHIA sm - Feather Tuscadero
[ In Reply To ..]
My university did not even offer a 2-year program. It was RHIA or bust.

TWo semesters of A&P WITH LAB, two semesters of human disease pathology, one of micrbiology WITH LAB, 4 semesters of coding (2 each of CPT and ICD)...plus the management type courses that included Legal Aspects of Healthcare, Human Resource Management, Project Management...plus 3 internships.
I found that I ultimately did not want to get into hospital administration, and I did not enjoy my job as a reimbursement specialist for a private consulting firm, so I transitioned to a national MT company where I worked as an editor and supervisor. I was *overqualified* but my higher educational background gave me strong confidence in my knowledge of the whole operation, not just my specific job. Management also came to trust my opinion on legal matters, etc. I eventually let my RHIA designation lapse because only hospitals seem to care about it and there are many jobs outside of hospitals. And it was just TOO EXPENSIVE to maintain!
No, you WERE an RHIA ... since you let it lapse - you no longer are.
[ In Reply To ..]
Now you just have a degree in HIM. You can no longer say that you are an RHIA because ... you aren't. You didn't see a need for it, you didn't do the required continuing education, you didn't keep it up.

It is an ethical issue. You cannot claim to have it if you do not.

Good lord, my resume clearly states "formerly registered." It wasn't rescinded or ann - Feather Tuscadero
[ In Reply To ..]
nm
Your post above says "I am also an RHIA". - And, yes, it was revoked.
[ In Reply To ..]
This does not just apply to your resume. It is unethical to claim you are an RHIA in any circumstances.

Frankly, the last place I would advertise it is on a resume. If you ever apply for a job in a hospital, I would just say you had a degree and not mention the major or the RHIA. It is not helpful to appear to have done an HIM degree and been unable to pass the exam, but it is worse to have let the credential be revoked.

That is what happened ... it was revoked. You see it as a choice you made to let it "lapse" because you disagreed with the cost and effort involved, or whatever issue you had with it. They see it as revocation, because you did not fulfill your responsibilities and they state that you cannot use that credential. Period.

In my organization, even if we wanted to hire you, we couldn't.




So don't hire me. nm - Feather Tuscadero
[ In Reply To ..]
x
RHIA versus - RHIT
[ In Reply To ..]
Can someone who has actual experience as an RHIA explain how the career possibilities are different for an RHIA versus RHIT. I am an RHIT who does coding (which I love)and am thinking about pursuing an RHIA. I am looking for actual work experience not just someone telling me to look at AHIMA. I already know that one is a Bachelors and the other is an Associates.
Recommend posting this at the top of the forum - where it can be seen
[ In Reply To ..]
... and does not become a part of an argumentative thread. I think you will get better answers at the top.
My RHIA friends and fellow classmates...sm - Feather Tuscadero
[ In Reply To ..]
...have become Director of Medical Records, Director of Utilization Review, Head of Cancer/Tumor Registry, and State Trauma Registry Manager, to name a few. Another also was a higher-up in the Informatics Dept as he also had a talent for all things computer.

In other words, they are leading the departments rather than a worker bee, and always had that goal."Administrator" is in the title, so if you're management-minded, RHIA may be what you want to aim for. I went the route of a reimbursement consulting firm, and the company where I worked required RHIA designation for the position. After that I was a supervisor for an MT national...who did not require the RHIA but were impressed by it.

I do not know anyone who stopped at RHIT so I cannot comment on that.

My humble opinion: if you have the resources to do so, aim high! There's no such thing as learning too much.
RHIT - verses RHIA
[ In Reply To ..]
So are you saying the RHIA is superior to the RHIT? One of the coding managers in my department is an RHIT and many (but not all) of the coders are RHITs. Is there more to the RHIA than just management? The program I had looked at was almost all management classes but that could just be that program. Is the only way to get into management in HIT is with an RHIA?
I wouldn't say "superior", but rather more advanced. sm - Feather Tuscadero
[ In Reply To ..]
The RHIA coursework definitely includes more management class than the RHIT route does. Look at what the letters stand for...one is technician, one is administrator.

I would bet at many hospitals you would find at least one RHIT who rose into management through experience and being in the right place at the right time. But the RHIA probably would get to that same position sooner.

SOME upper level jobs in larger, more-structured hospital systems will require RHIA, no RHIT considered...but smaller or more rural hospitals are likely to not be so picky simply because they have smaller pools of candidates from which to choose.

I can only speak from my experience, but every Head of HIM I've met has been an RHIA. You can certainly be a supervisor, probably even an asst. director, with RHIT and solid experience.

I don't have a courseline for an RHIT program in front of me to compare, but my RHIA courseline was heavy on science with labs, disease pathology, coding, and then a lot of the theoretic management courses including law...probably 5-6 of my upper level courses were management related.
RHIT - coursework
[ In Reply To ..]
The RHIT program that I did was heavy in science, diseases, terminology, records processing, coding, ROI, laws and ethics surrounding the profession, etc as well as a couple management classes. So it sounds like the only difference is for people who want to study management but there are other ways to get into management besides the RHIA.
More opportunities...sm - Feather Tuscadero
[ In Reply To ..]
Another fellow graduate was hired right after graduation to be the manager of medical records at a state prison. Six months after graduation and right after passing the RHIA exam I was offered a position as manager of medical records at a nursing home (I did not take the job), and also as a contract consultant to utilization audits at another nursing home. Both positions specifically required RHIA designation.
FInally, for a short time I worked as a tumor registrar for a major hospital system; I want to say RHIT was sufficient for that position (if you weren't already a certified tumor registrar).
What Mayo requires - According to their job postings
[ In Reply To ..]
This is from one of their job ads on the AHIMA job board. Note it says "healthcare related program."

Associate's or Bachelor's Degree in a healthcare related program with a minimum of one of the following credentials:

RHIT or RHIA or CCS, with a minimum of 3 years inpatient coding experience required;
or Bachelor's Degree in any field with a CCS and 5 years of inpatient coding experience required
Requires a good understanding of ICD-9 coding (diagnosis and procedure) and inpatient guidelines.

Mayo Requirements - for coding
[ In Reply To ..]
The only way you are going to get an RHIT is with a 2 year degree. Also the 3 years of experience actually depends on the type of coding. I dont code inpatient; I code outpatient which does not require experience.
You are missing the point - sm
[ In Reply To ..]
You seem to keep focusing on the RHIT as their requirement.

Their own job ad gives two possible NON-RHIT/RHIA options. One says says "associates in a healthcare related program." ANY associates in ANY healthcare related program.

The other is a bachelor's degree in ANY field.

When you applied, that was what YOU needed because you did not have the others. That does not mean everyone is just like you.
Mayo Requirements - for coding
[ In Reply To ..]
Actually I have another associates in healthcare administration that included a semester of coding and am a CCA in addition to the RHIT. I tried to get into coding with the CCA and couldnt. They prefer the RHIT/RHIA. I also think I always state these are my own experiences. Do you work for Mayo as well?
CCA - sm
[ In Reply To ..]
It is not surprising that they would not accept you with a CCA. Their requirements are a CCS, RHIA, or RHIT.

In your case they said you would need an RHIT because has was the only thing you were likely to get. Anything better ... the RHIA or CCS ... were out of your range at the time.

That does not mean they "prefer" the RHIT. Why would anyone "prefer" having employees with less education and ability when they could have more? They only preferred for you to have it instead of the CCA.

No, you do not always state these are your own experiences. You typically present them as if they are the only experiences anyone can have.



Actually my initial post - states that
[ In Reply To ..]
This is all just my opinion. Do you have extensive coding experience and do you work for Mayo Clinic? You come across as someone who knows everything about coding.
Yes, extensive coding experience - No, do not work for Mayo
[ In Reply To ..]
While I do not work for Mayo, I can read their job announcements ant apply my extensive coding and managerial experience toward figuring them out.
Coding - experience
[ In Reply To ..]
What certifications and level of education do you have?
Instead of focusing on finding something wrong - with this person...
[ In Reply To ..]
Instead of focusing your attention on finding something wrong with the person who has been trying to answer your questions, perhaps you should focus your attention on improving your own education, abilities, and experience.



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MUP (make Up Pay)
Sep 25, 2012

Anyone every get fired from Nuance for MUP?  ...


Okay Say I Make 10/6
Nov 05, 2012

What do you think they will do to get rid of me? I am really worried now, reading about all these terminations. ...


I DO NOT Want To Make Anyone Mad....
Nov 13, 2012

I looked at all the emails under here when I stopped work this afternoon and was hoping for a good description of the Town Hall meeting thingy.  What was the upshot?  Anything other than the usual blah blah blah?  Anything we need to know or else! LOL ...


Can You Make Any $$ With VR???
Feb 23, 2013

Okay, I'm waaaay behind the times.  I have been doing straight transcription for 35 years and am about to switch to VR editing at 0.45 cents per line.  Good Grief.  Can I make any money doing this??  My straight transcription accounts have all switched over about 80% of their work to VR and left all the truly terrible dictators on straight.  ...


How Much Do You Make?
Jul 22, 2013

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Make's One Wonder--sm
Aug 07, 2013

Apparently the account I work on will be going completely offshore.  I am being moved to an account that I know has work (at least for now, not sure how many others will be switched to this one too).  I have to wonder though when will be the point when accounts go offshore and people are just fired.  While people do quit, is it enough to ensure there is still work stateside.  I have things that need to be taken care of.  New tires, new brakes, a new refrigerator, etc.&n ...