because of a multitude of medical problems i cannot physically do clinical nursing anymore. after a few years of depression over this and a lot of thinking i went to school to learn medical coding and worked as a medical coder for a few years. now, i am back in school working for an aa degree in health information management, a step above the medical coding, so i will be able to become certified as an rhit (registered health information technician). licensure is not required because there is no direct patient care involved. however, the certification is. this is basically office work that involves working with patient charts or patient data, so confidentiality is a very big factor. also, hippa and many other laws directly affecting healthcare documentation have made this career necessary. my classes are in the same building as all the other health sciences (nursing, dental assisting, mortuary science, etc.). we have nearly the same pre-requisites except no chemistry and microbiology. you do have to have the a&p and pathophysiology. this is a growing field and expected to get bigger. it is because documentation of the medical chart is going to electronic storage. everything is going computerized! rhits work throughout all types of healthcare facilities. they can specialize and become tumor board registrars or medical staff office workers or managers (this is a big career right now). they can become medical coders for either physicians, hospitals or other healthcare facilities. i have heard of rhits getting jobs as birth certificate registrars, medical records clerks (we're not just talking about filing charts here!), data security officers and scores of other positions. many positions are created because of the need for computerized data from patient charts to be compiled and transmitted to medicare and various state agencies by law. the pay is pretty good, almost as high as rns and sometimes higher if you get into management and supervision positions. there is a national organization called ahima (american health information management association) and they have a website http://www.ahima.org/
this page has a little information about the kinds of jobs you can get with an aa in him (health information management) http://www.ahima.org/careers/healthtech01.asp
and the difference between and rhit and an rhia (registered health information administrator) certification http://www.ahima.org/careers/nextstep01.asp
. you can check their website for colleges that have accredited programs for a college near you. if you consider a career in this field, you want to go to a school that has an ahima accredited program.