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Overview

Revenue cycle management (RCM) professionals keep healthcare systems running smoothly by handling the details of patient revenue—from the first point of contact to final payment. RCM roles cover everything from insurance processing, registration, eligibility, claims management, billing, collections, and denials.

Training and Resources

If you’re starting in RCM or looking to level up in your RCM career, AHIMA offers education, certifications, and resources to help you grow. RCM-focused credentials, including CCA®, CCS-P®, CCS®, and CDIP®, are available to support your career path.

13 COURSES | 10 CEUS EACH

Medical Coding and Reimbursement Courses

Get the knowledge you need to build a successful health information career with our foundational courses—all online and self-paced. When you complete all 13 courses, you will earn the AHIMA Medical Coding and Reimbursement Micro-credential. If you choose to continue your journey, you can apply academic transfer credits towards certificate or undergraduate degree programs with participating academic institutions.

1 CEU

DRG Reimbursement and Case Mix

This course presents a primer on DRGs including the history, grouping logic, common DRG systems, and the role of case mix in the hospital.

Hardcover | Eighth Edition

Principles of Healthcare Reimbursement and Revenue Cycle Management

This book gives educators, students, and healthcare professionals comprehensive, up-to-date information on healthcare reimbursement systems, and the impact each system has on the entire US healthcare delivery system and economy, in one trusted source. 

Hardcover | Second Edition

Revenue Cycle Management Best Practices

This book helps health information professionals and students better understand and participate in the revenue cycle management process by providing examples of how facilities can move from managing the revenue cycle by department to managing with an interdisciplinary approach to gain significant improvements on the timely flow of revenue. 

Hardcover | Sixth Edition

Basic CPT and HCPCS Coding Exercises

Basic Current Procedural Terminology and HCPCS Coding Exercises strengthens the coding knowledge of students of all levels with skill-building drills and real-world case studies.

Hardcover | Fourth Edition

Coding and Reimbursement for Hospital Inpatient Services

Coding professionals and students will discover a unique and valuable resource to assist them with understanding the complexities of coding for inpatient reimbursement.

Clinical Validation Practice Brief

Are you struggling to maintain consistency and accuracy in clinical validation within your organization? Clinical validation is a crucial process that demands seamless collaboration between providers, clinical documentation integrity (CDI) specialists, and coding professionals. We understand the challenges when it comes to identifying diagnoses that lack clinical evidence. That's why we're excited to introduce our new Clinical Validation Practice Brief! Get started with essential guidance and tools to incorporate clinical validation seamlessly into your daily workflow.

Whitepaper

Revenue Integrity: Leveraging Data to Enhance Collaboration Across the Revenue Cycle

Learn how revenue integrity ensures a unified, systemic approach to revenue cycle optimization, preventing revenue leakage and maintaining compliance.

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