"[
ABSTRAKCoder mempengaruhi penerimaan rumah sakit karena kemampuan dalam
menetapkan kode menggunakan ICD untuk mengkode diagnosa dan prosedur
yang tercatat didalam dokumen rekam medis akan berdampak pada penerimaan
rumah sakit. Penelitian ini bertujuan untuk mengetahui perbedaan hasil koding
Coder di RSUP dr Kariadi Semarang dan potensi kerugian yang mungkin terjadi.
Metode yang digunakan adalah kuantitatif, melibatkan 6 orang Coder yang dibagi
menjadi 2 kelompok yaitu standar dan uji, berdasarkan masa kerja dan pelatihan
yang pernah diikuti. Hasil koding dan besaran klaim antar kelompok
dibandingkan. Dari penelitian didapatkan kompetensi Coder perlu ditingkatkan
karena rerata hasil tarif lebih rendah dari kelompok standar yang tinggi 32,6%,
berpotensi menurunkan pendapatan rumah sakit rata-rata sebesar 4,2% dari klaim
yang seharusnya diterima.
ABSTRACTCoder influence hospital revenue due to ability to assign code using ICD for
diagnoses and procedures recorded in medical record. This study aims to
determine the competence of Coder in dr Kariadi Hospital and potential losses
that may occur. The method used in this research is quantitative, involving 6
Coders who were divided into 2 groups: standard and test groups, based on years
of experience and training which have been followed. Coding and the amount of
the claim results were compared between groups. The study showed Coder?s
competence still needs to be improved are characterized by a high average
undercoding result is 32.6%, potentially decrease hospital revenue by an average
of 4.2% of claims that should be accepted by the hospital.;Coder influence hospital revenue due to ability to assign code using ICD for
diagnoses and procedures recorded in medical record. This study aims to
determine the competence of Coder in dr Kariadi Hospital and potential losses
that may occur. The method used in this research is quantitative, involving 6
Coders who were divided into 2 groups: standard and test groups, based on years
of experience and training which have been followed. Coding and the amount of
the claim results were compared between groups. The study showed Coder?s
competence still needs to be improved are characterized by a high average
undercoding result is 32.6%, potentially decrease hospital revenue by an average
of 4.2% of claims that should be accepted by the hospital., Coder influence hospital revenue due to ability to assign code using ICD for
diagnoses and procedures recorded in medical record. This study aims to
determine the competence of Coder in dr Kariadi Hospital and potential losses
that may occur. The method used in this research is quantitative, involving 6
Coders who were divided into 2 groups: standard and test groups, based on years
of experience and training which have been followed. Coding and the amount of
the claim results were compared between groups. The study showed Coder‘s
competence still needs to be improved are characterized by a high average
undercoding result is 32.6%, potentially decrease hospital revenue by an average
of 4.2% of claims that should be accepted by the hospital.]"
