Mendry · Florida 501(c)(3) Nonprofit · Veteran-Built & Independent

Mendry

DCSP Hub · Hub 07

Role

of 10

Medical Coding & Documentation Integrity

Translating clinical care into compliant claims

AAPC

CPC · COC · CPMA · CRC

AHIMA

CCS · CCS-P · CDIP · RHIA · RHIT

NCRA

CTR

ACDIS

CCDS

State Boards

Coding Compliance

01 Cancer Registrar (CTR) A Cancer Registrar (CTR) abstracts and codes oncology cases for cancer registries… Series 02 Clinical Documentation Integrity (CDI) Specialist A Clinical Documentation Integrity (CDI) Specialist works at the intersection of clinical… Series 03 Coding Auditor A Coding Auditor conducts coding audits — reviewing samples of coded encounters… Series 04 HCC Coding Specialist An HCC Coding Specialist focuses specifically on Hierarchical Condition Category coding work… Series 05 Inpatient Coder An Inpatient Coder assigns ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes for… Series 06 Outpatient Coder An Outpatient Coder assigns CPT and HCPCS procedure codes plus ICD-10-CM diagnosis… Series 07 Professional Fee Coder A Professional Fee Coder assigns CPT and ICD-10-CM codes for physician and… Series 08 Registered Health Information Administrator (RHIA) A Registered Health Information Administrator (RHIA) holds the senior HIM credential awarded… Reading 09 Registered Health Information Technician (RHIT) A Registered Health Information Technician (RHIT) holds the foundational HIM credential awarded… Up Next 10 Risk Adjustment Coder A Risk Adjustment Coder specializes in coding for Medicare Advantage, ACA Marketplace,… Series

DCSP Hub · Medical Coding & Documentation Integrity

Role

of 10

Registered Health Information Administrator (RHIA)

A Registered Health Information Administrator (RHIA) holds the senior HIM credential awarded by AHIMA — combining health information management expertise with bachelor’s-level education. RHIAs work in senior HIM roles, including HIM Director positions, compliance leadership, health informatics, and senior coding and CDI positions. The credential opens doors to the most senior healthcare administration roles where HIM expertise is required.

How This Work Happens

RHIA work happens in three places: as a hospital or health-system employee, as a contractor working through a practice management or services company, or as an independent business owner. This page covers all three so you can choose the path that fits your life.

Mendry supports the third path. We are a Florida 501(c)(3) membership platform full of opportunities — not an employer, not a placement agency. We list independent professionals so the practices that need them can find them. Your business. Your contracts. Your rates. Your decisions.

MEMBER ACKNOWLEDGMENT

Membership in Mendry’s DCSP Network is built on these understandings about your business.

Fifteen points. Read carefully. This is the agreement.

You set your own rates. Mendry does not suggest, publish, recommend, or facilitate the sharing of rate information between members.

You bill your own clients and collect your own payment. Mendry does not invoice, collect, hold, distribute, or process payment between you and your clients.

You hold and maintain current professional liability and errors-and-omissions insurance appropriate to your specialty. Mendry does not insure you, indemnify you, or provide coverage of any kind.

You handle your own taxes as an independent business. Mendry does not withhold, report, file, or remit taxes for you. You are responsible for federal, state, and local tax obligations including estimated quarterly payments.

You sign your own contracts directly with your clients. Mendry is never a party to, signatory of, or guarantor of your client agreements, and Mendry does not negotiate, review, or approve your contract terms.

When your work touches Protected Health Information (PHI), you execute a Business Associate Agreement (BAA) directly with each client before beginning work. Mendry is never a party to your BAAs, and Mendry’s website never touches, stores, or transmits PHI.

You hold and maintain all federal, state, and local business licenses, registrations, and certifications your business and work require. Mendry does not verify licenses on your behalf or vouch for your licensure status.

You complete the continuing education your credential requires and maintain current documentation. Mendry does not track CE on your behalf, report CE to credentialing bodies, or guarantee that your CE meets any specific requirement.

You carry full professional responsibility for the quality, accuracy, and timeliness of your work product. Errors, omissions, missed deadlines, and quality disputes are between you and your client. Mendry does not mediate, intervene, indemnify, or carry any liability for your work.

You market your own business and represent yourself accurately to clients. You do not represent yourself as employed by, certified by, endorsed by, or operating under the authority of Mendry. You may accurately state that you are a listed member of the Mendry DCSP Network.

Your professional relationships are with your DCP clients. You do not have a direct service relationship with veterans through Mendry, and Mendry does not refer veterans to you as patients or clients.

You maintain your own client records, working files, and business records on systems and tools you control. Mendry does not host, back up, store, or have access to your client files or business data.

Your membership in the DCSP Network is conditional on maintaining current credentials, insurance, licenses, and good standing. Mendry may suspend or terminate your directory listing if these standards lapse.

Your membership fee pays for your listing and the educational resources Mendry provides. It does not buy referrals, leads, work, or placement, and is not refundable based on the work you do or do not receive.

You are a member of an independent professional directory. You are not an employee, contractor, agent, partner, joint venturer, or representative of Mendry. Mendry does not direct, supervise, control, schedule, or assign your work.

What This Really Means

The same fifteen points — explained the way a friend would explain them.

01 You decide what to charge.

You research what other professionals in your specialty charge. You look at job boards. You ask peers. You decide what your work is worth, and you tell your clients that number. Mendry does not tell you what to charge. We do not share rate information. That keeps us out of antitrust trouble and keeps you free to price your work the way you choose.

02 You send the bill. You collect the money.

Every month, you send your client an invoice. The client pays you directly — usually by ACH bank transfer or check. Mendry does not touch the money. We never see your invoices. We never collect for you. Money flows from client to you. Period.

03 You buy your own insurance.

Professional liability insurance protects you if a client says your work cost them money. Errors and omissions insurance protects you if you make a mistake in your work product. Every working DCSP needs both. You shop for it. You pay for it. You keep it current. Mendry does not insure you, and the directory does not list you as covered by us.

04 You pay your own taxes — four times a year.

As an independent business, you pay estimated taxes every quarter — April, June, September, and January. You file a Schedule C with your tax return. Mendry does not withhold anything. We do not report your income to the IRS. You are responsible for tracking your income, your expenses, and your tax payments. A bookkeeper or CPA pays for itself.

05 You sign your own contracts.

Every client gives you a contract — sometimes called a Master Service Agreement or a Statement of Work. You read it. You sign it. If something looks off, you take it to your own attorney. Mendry does not read your contracts, does not negotiate them, and is not a party to them.

06 You sign a BAA with every client before you start.

When your work touches information about real patients — their names, dates of birth, diagnoses — that information is called PHI. Before any client lets you near their patient information, you sign a Business Associate Agreement. Every client. Every time. Mendry’s website never touches PHI — we educate you about it, that’s it.

07 You hold your own business licenses.

Some states require a business license to operate. Some cities require a local one. You research what your state and city require, and you hold whatever licenses apply. Mendry does not verify your licenses for you — the verification badge on your directory profile reflects what you upload, not what we check with the state.

08 You keep your credentials and CE current.

Your professional credential needs continuing education hours to stay active. You complete the CE. You track the hours. You report them to your credentialing body. Mendry does not report for you and does not guarantee your CE is enough — that’s between you and your credentialing body.

09 You own the quality of your work.

If you make a mistake in your work, the client may lose money. They may ask you to fix it. They may charge you for the loss. Your insurance and your reputation handle this — not Mendry. Build clean files. Communicate well. Hit your deadlines.

10 You market yourself accurately.

You can tell clients: “I am a listed member of the Mendry DCSP Network.” That is accurate. You cannot tell clients: “I work for Mendry” or “Mendry certified me.” Stick to “listed member of the directory.”

11 Your clients are DCP practices. Veterans are not your clients.

You serve the doctor’s practice or the clinic — the DCP. The veteran is the DCP’s patient, not yours. Mendry does not refer veterans to you. The chain goes: Mendry lists DCPs. DCPs hire DCSPs. DCSPs serve DCPs. You are two steps removed from the patient, which is exactly where you should be.

12 You keep your own records.

Your client files, your invoices, your work product, your tax records — all of it lives on systems you control. Mendry does not host your work. We do not back up your data. Use cloud backup. Treat your business like a real business.

13 Your directory listing is conditional, not permanent.

If your credential lapses, your listing pauses. If your insurance expires, your listing pauses. Membership is a standing — you maintain it by keeping everything current. We send you reminders before things lapse. The directory only works if every member listed is actually current.

14 Your membership fee pays for listing — not for leads.

Mendry does not promise you work. The fee you pay covers your spot in the directory and the educational resources we publish. Whether you win the work after that depends on you — your profile, your responsiveness, your rates, your references. Membership is an opportunity, not a guarantee.

15 You are a member. We are a platform. That is the whole relationship.

Mendry does not employ you. We do not contract with you. We do not represent you. We list you. You operate your business. The line between us is clean and clear — and the clean line is what protects both of us.

What This Role Involves

RHIAs work across the senior HIM landscape. They may lead HIM departments. They may serve in compliance leadership roles. They may work in health informatics implementing and optimizing EHR systems. They may serve as senior coding professionals or CDI leadership. The credential’s breadth supports varied senior career paths.

HIM leadership is core work for many RHIAs. They manage HIM departments overseeing medical records, ROI, coding, CDI, and other HIM functions. They develop departmental strategy. They coordinate with practice or hospital leadership on HIM strategic decisions.

Health informatics work is increasingly important. As healthcare digitizes, RHIAs with informatics focus work on EHR optimization, data analytics, clinical decision support, and the data layer that enables healthcare operations.

The Honest Description

The RHIA credential opens senior HIM career paths. Members who do well in RHIA-credentialed work enjoy senior responsibility in health information management, take pride in HIM program excellence, and find satisfaction in the breadth of options the credential creates.

The Core Activities

1

Lead HIM departments and programs

Oversee medical records, ROI, coding, and CDI operations within HIM departments.

2

Support compliance and audit work

Provide senior HIM expertise to compliance programs and audit response.

3

Engage in health informatics work

Support EHR optimization, data analytics, and clinical decision support implementation.

4

Provide senior coding or CDI expertise

Serve in senior coding or CDI roles where credential and senior expertise are required.

5

Mentor HIM professionals

Develop next-generation HIM professionals through mentorship and training.

Where This Role Appears in the Field

In a hospital or health system

Hospital RHIA roles span HIM department leadership, compliance leadership, and senior HIM specialty work.

In a healthcare consulting, HIM services, or technology company

Healthcare consulting firms, HIM services companies, and EHR vendors hire RHIAs for senior consulting and product roles.

As an independent contractor

Senior HIM consultants with RHIA credential work with multiple clients on HIM strategy, implementation, and specialty engagements.

Federal Payer Workflow

VA CCN, TRICARE & CHAMPVA Credentialing

VA hospital HIM involves federal payer HIM considerations layered with general HIM practice. RHIAs supporting VA hospital work need federal payer expertise.

Federal payer HIM across VA, TRICARE, and CHAMPVA involves cross-program HIM expertise that RHIAs handling federal payer practices develop over time.

The two-hat reality. In a two-hat practice, this work runs on two parallel tracks at once — VA Community Care credentialing and claims under federal authority, and state medical cannabis practitioner participation under state authority. The two tracks never share a workflow, but they share a deadline: a lapse on either side stops payment and access on both. Members who can hold both tracks steady at the same time are the ones two-hat practices keep.

Your Roadmap to becoming an independent Registered Health Information Administrator (RHIA)

This is the step-by-step path. Follow each step in order.

Step

Complete AHIMA-accredited bachelor's degree

RHIA requires bachelor’s degree from AHIMA-accredited program. Some accredited programs are designed for working HIM professionals to complete part-time.

Step

Pass AHIMA RHIA examination

Pass the RHIA certification examination.

Step

Build senior HIM experience

Most independent RHIA consultants have 5+ years of senior HIM experience before independent work.

Step

Set up your business

Step

Get professional liability insurance with consulting coverage

Senior HIM consulting carries significant liability exposure.

Step

Sign HIPAA Business Associate Agreements

Every client signs a BAA.

Step

Find your first client

Hospitals and large practices needing senior HIM consulting are natural first clients.

Step

List in the Mendry DCSP Network

Position yourself around senior HIM consulting with RHIA credential.

Step

Build your book of business

Senior RHIA consultants often work with 2 to 4 clients on senior consulting engagements.

Education & Experience Pathways

Members exploring this role typically come into the work through one of these learning paths:

AHIMA-accredited bachelor's degree

Required for RHIA certification eligibility.

RHIT to RHIA progression

RHITs can progress to RHIA through bachelor’s degree completion.

Military MOS adjacent paths

Military medical administration with senior leadership experience supports career progression toward RHIA after credential completion.

The Skill That Distinguishes Strong Specialists

RHIAs who grow fastest are the ones who develop deep specialization in 1 or 2 HIM areas — HIM department leadership, compliance leadership, health informatics, or senior coding leadership. The breadth of RHIA opens doors; the depth in specific areas creates premium positioning.

The Realities of the Work

The RHIA credential supports varied senior career paths across the HIM landscape. The work varies significantly by role — leadership, consulting, technical, or specialty.

Senior RHIA roles are typically W-2 or senior consulting. Independent consulting is well-established. Compensation is at the senior healthcare administration level.

Income — Research the Range

Mendry does not publish specific income figures because numbers vary based on credential, geographic market, employment type, specialty focus, and experience. Here are the authoritative sources to research current income data:

BLS — Medical and Health Services Managers

BLS data covering senior HIM roles.

bls.gov/ooh/management/medical-and-health-services-managers.htm

AHIMA Salary Snapshot

AHIMA publishes detailed RHIA compensation data segmented by role and setting.

ahima.org

MGMA Compensation Survey

MGMA compensation data with HIM leadership breakouts.

mgma.com

Indeed & Glassdoor — Real-Time Market Data

Active market data for RHIA positions.

indeed.com · glassdoor.com (search "RHIA")

How to Know If This Role Fits You

The RHIA path is a good fit for HIM professionals who want senior career progression with the credential’s breadth and recognition. Members who can complete the bachelor’s degree and pass the certification exam. Members who want senior responsibility in HIM, compliance, informatics, or specialty work. It requires significant education investment but opens the most senior HIM career paths.

About this content. Mendry is a Florida 501(c)(3) nonprofit membership platform. This page is educational and does not constitute medical, legal, financial, or placement advice. Medical coding requirements, code set updates (ICD-10, CPT, HCPCS), and audit standards vary by payer, setting, and code year. Mendry does not employ, place, refer, or supervise coding professionals. All members listed in the DCSP Network operate their own independent businesses, set their own rates, sign their own contracts, and carry their own insurance. Mendry does not provide treatment, prescribe or sell cannabis, complete state forms, or collect PHI. Emergency: 911 · Veterans Crisis Line: 988 (Press 1) · Text 838255.

Your Specialty. Your Business. Your Network.

Mendry lists independent credentialing professionals so the two-hat practices that need them can find them. Your business, your rates, your clients, your decisions — we provide the visibility and the platform.