Akiyaguchi Station features one island platform capable of handling two lines simultaneously.

Trains bound for Shiwaguchi and Miyoshi are handled on the upper end (上り) of the platform, and trains bound for Hiroshima are handled on the lower end (下り).

The station is operated under private contract from JR West, and has a Green Window.

The area surrounding Akiyaguchi Station contains many multi-unit apartment buildings, and is considered a "bedroom community" of downtown Hiroshima City.

Because of this, this station handles a high volume of passengers daily, especially in the morning and evening commuting hours on weekdays.