RHIT - Registered Health Information Technician Organizational Management and Leadership Questions and Answers

Question 1

The manager of a Health Information Management (HIM) department has noticed a significant increase in coding errors attributed to a long-term, previously reliable coder.
What is the MOST appropriate initial action for the manager to take?

Accepted Answer

Meet with the coder privately to discuss the observations and gather more information.

Answer

Place the coder on a formal performance improvement plan (PIP).

Answer

Immediately reassign the coder to a non-coding role to prevent further errors.

Answer

Issue a written warning for failure to meet quality standards.

Question 2

An HIM director is tasked with selecting a new release of information (ROI) vendor. The director forms a committee of ROI specialists, provides them with the project requirements, and empowers them to research, evaluate, and recommend the best vendor. The director serves as a resource but allows the team to make the final recommendation. This approach is an example of which leadership style?

Accepted Answer

Democratic

Answer

Autocratic

Answer

Transactional

Answer

Laissez-faire

Question 3

As part of developing a new strategic plan for the HIM department, the leadership team conducts an analysis to identify internal strengths and weaknesses, as well as external opportunities and threats. What is this management tool called?

Accepted Answer

SWOT Analysis

Answer

Root Cause Analysis

Answer

PEST Analysis

Answer

Gap Analysis

Question 4

An HIM manager is developing a budget that covers the day-to-day costs of running the department, such as salaries, supplies, and routine maintenance on equipment. This type of budget is known as a(n):

Accepted Answer

Operational budget

Answer

Capital budget

Answer

Zero-based budget

Answer

Rolling budget

Question 5

A hospital is transitioning from a hybrid record system to a fully electronic health record (EHR). To manage this significant change and overcome potential staff resistance, which of the following is the most critical activity for the HIM leadership to undertake?

Accepted Answer

Establish clear communication channels and involve staff in the implementation process.

Answer

Mandate the use of the new system with strict penalties for non-compliance.

Answer

Focus training only on the most technologically skilled employees.

Answer

Outsource the entire scanning and indexing process to a third-party vendor.

Question 6

An HIM department wants to improve the accuracy of its coding, aiming for a defect rate of less than 3.4 per million opportunities. The team uses a structured, data-driven methodology involving defining, measuring, analyzing, improving, and controlling (DMAIC) the process. This approach is characteristic of which quality improvement framework?

Accepted Answer

Six Sigma

Answer

Total Quality Management (TQM)

Answer

Lean

Answer

Plan-Do-Check-Act (PDCA)