ANALISIS KETEPATAN KODING YANG DIHASILKAN KODER DI RSUD UNGARAN

Adhani Windari; Anton Kristijono

doi:10.31983/jrk.v5i1.717

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Journal Title : Jurnal Riset Kesehatan
Abbreviation : JRK
Frequency : 2 issues per year (May and November)
DOI : 10.31983/jrk.v10i1
ISSN (Printed) : 2252-5068
ISSN (Online) : 2461-1026
Editor in Chief : Choiroel Anwar
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M. Choiroel Anwar, SKM., M.Kes
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ANALISIS KETEPATAN KODING YANG DIHASILKAN KODER DI RSUD UNGARAN

Adhani Windari, Anton Kristijono

Abstract

The results showed still found not exactly result of coding diagnoses and medical procedures resulting coder hospitalization. Coding accuracy percentage is only 74.67%, while inaccuracies coding reached 25.33%. Still found incompleteness of medical record documents, and in the way of documentation found there is no document name of the doctor, they discovered the graffiti and tippex. Posts diagnosis and medical procedures doctors are not entirely legible.Coder need training on a regular basis, both internal hospital or national scale and the need for more intensive socialization to medical personnel regarding the completeness and procedures for documenting medical records document.

Keywords

INA CBG's ; coder ; coding

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References

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Depkes, RI. 2006. Pedoman Penyelenggaraan Dan Prosedur Rekam Medis Rumah Sakit Di Indonesia. Revisi II. Direktorat Jenderal Bina Pelayanan Medik. Jakarta.

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Ilyas, Yaslis. 2003. Kiat Sukses Manajemen Tim Kerja. PT Gramedia Pustaka Utama. Jakarta.

Junadi, Kresnawati, L. 2010. Perbandingan Biaya Pelayanan Rawat Inap Pasien Dengan Tindakan Medik Operatif Terhadap INA DRG 1.6 Pada Pasien Jamkesmas Di RSUD Tugurejo Semarang. Prosiding FIKI.2011.ISBN 9786021975404.

Kemenkes RI. 2008. Peraturan Menteri Kesehatan No 269 Tentang Rekam Medis. Jakarta.

Kemenkes RI. 2013. Buku Pegangan Sosialisasi JKN dalam SJSN. Jakarta.

DOI: https://doi.org/10.31983/jrk.v5i1.717

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