<![CDATA[Accurate and precise diagnosis coding in obstetric cases at Dr. Asmir DKT Hospital, Salatiga, is crucial for effective medical record management. This study utilized an analytical quantitative approach with a cross-sectional method to explore the relationship between the accuracy and precision of diagnosis coding. The sample comprised 100 obstetric cases selected from inpatients during the first quarter (January – March 2024). Data analysis revealed that 68% of the 72 analyzed cases had accurate diagnosis coding, while 32% were inaccurate. Similarly, 71% of the cases were coded precisely, with 29% coded imprecisely. Chi-Square analysis indicated a significant relationship between accuracy and precision of diagnosis coding (p = 0.002). Factors influencing inaccuracies and imprecisions in coding included legibility of physician notes in medical records, inadequate understanding of the coding system (ICD-10), and completeness of medical documentation. To enhance coding quality, regular training for healthcare staff is recommended, alongside strengthening internal audit systems and developing more efficient medical record information systems.]]>
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