Jurnal manajemen informasi kesehatan
Vol. 8 No. 2 (2023)

Gambaran Pelaksanaan Kodefikasi Diagnosa Pneumonia Berdasarkan Pendidkan, Pengegtahuan dan Masa Kerja Coder (Rsud Dr. M.Yunus Bengkulu)

Budiarti, Anggia (Unknown)
Harmanto, Deno (Unknown)
Ayu, Dinda (Unknown)



Article Info

Publish Date
31 Dec 2023

Abstract

Coders are fully responsible for the accuracy of diagnosis coding, therefore officersmust have good knowledge and high experience so that coding activities can be carriedout well, based on a survey conducted by researchers at RSUD Dr. M. Yunus Bengkulu,pneumonia ranks 3rd out of the 10 most common illnesses in inpatients at RSUD Dr. M.Yunus Bengkulu, by checking the entry and exit sheets in the medical record files forthose diagnosed with pneumonia, there were 11 diagnoses whose diagnosis codes wereincorrect, which would hamper the claim process and would affect the quality of medicalrecord services. The purpose of this research is to determine the knowledge and workexperience of coders in carrying out codefication of pneumonia diagnoses at RSUD Dr.M. Yunus Bengkulu. The type of research carried out is descriptive research, namelydescribing the results of the data obtained. The research objects were 65 medical record files for pneumonia diagnosis and the research subjects were 5 coders. The method usedis observation using a check list sheet and questionnaire sheet. Data collection usessecondary and primary data. Of the 65 medical record files for pneumonia diagnosis,54 or (70%) had correct codes and 11 or (30%) had incorrect codes. 5 people or (100%)coders have worked for ≥3 years. 2 respondents or (40%) had good knowledge, and 3people or (60%) officers had sufficient knowledge. 

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Journal Info

Abbrev

jmis

Publisher

Subject

Public Health

Description

JURNAL MANAJEMEN INFORMASI KESEHATAN is a journal that provides scientific writings for the exchange of ideas on theory, methodology and innovation related to the world of health, especially the scope of Medical Records and Health ...