MBARNBSN, I want to thank you for this explanation. I will be graduating with a BS in Health Information Management next Saturday and the most enjoyable parts of my clinicals have been in UM, QI, IDI Specialist type roles . . . where nearly all of the people I followed were RNs. My instructor keeps telling me that I don't need to get my RN because I can work in these fields with an RHIA. I have only met two people that do work in UM with RHIAs, lovely ladies but I saw plain as day where a lack of clinical knowledge hinders them.
Maybe I am drawn to these fields because of my experience as a LPN, I don't know, but I still feel like I need to get my RN to be able to make a living at it.