Accurate billing is crucial for the financial health of medical institutions. Billing and coding are based on what services are documented by the provider and selection of the appropriate code is most commonly done by the provider or a coding specialist. 3 Medical coding is the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. It can be subsequently used for ABSTRACT Background: The accuracy of clinical coding is very important in the proper financing of health care centers. During January to February 2019, only 35 out of 60 obstetrical cases that were well coded (58%) in Naili DBS Hospital and this miscoding would led to a big financial loss. The aim of this study is to determine the effect of training on coding accuracy. Methods: This study was conducted during April 2019 in Naili DBS Hospital using quasi experimental method, with one group pretest and post-test design. All 11 participants were given a pretest consisted of 10 long cases (maximum score=38) and the training was conducted based on the identified needs from the preliminary audit. They were then given a post-test to see the effect of the training. Results: The mean score of pretest was 10.7 and the mean score of post-test was 19.7. The individual scores were normalized and then analyzed using SPSS with paired sample T-test. Based on statistical analysis, p<0.005 meaning the traning is statistically significant on improving the coding accuracy in obstetrical diagnosis. Conclusions:The training has significantly improved the score of well coded obstetrical diagnosis, even though the participants have not reached the maximum score. Furthermore, our study suggests that it is important to analyze the coders" performance months after the training by conducting a coding audit.

Analisis SWOT (Strength, Weakness, Opportunity, Threat) adalah perangkat yang membantu manajer sebuah organisasi untuk mengevaluasi kekuatan, kelemahan, peluang dan ancaman yang terlibat dalam perusahaan. Fasilitas pelayanan kesehatan merupakan salah satu institusi yang berkembang pesat, dan pelayanan rekam medis merupakan salah satu pelayanan penunjang yang menjadi dasar penilaian mutu pelayanan medik rumah sakit. Institusi kesehatan seperti rumah sakit beserta lembaga pendidikan di bidang rekam medis harus bisa menetapkan metode SWOT sebagai landasan dasar perumusan strategi pemasaran untuk meningkatkan nilai daya saing. Metode pengabdian kepada masyarakat ini adalah pendidikan masyarakat dalam bentuk webinar melalui aplikasi Zoom. Pelatihan ini dilaksanakan pada tanggal 13 Juni 2020 dengan peserta berjumlah 27 orang, yang dilakukan dalam bentuk presentasi, tanya jawab, latihan soal dan diskusi. Topik yang dibahas mencakup: dasar analisis SWOT, tahap identifikasi SWOT, pembobotan dan skor, perumusan grafik dan grand matrix strategy terkait pengembangan rekam medis. Sebelum pelatihan dilakukan, peserta hanya mampu melakukan analisis SWOT hingga tahap identifikasi, dan setelah diberikan pelatihan peserta mampu melakukan analisis hingga tahap perumusan grand matrix strategy. Kesimpulan pelatihan ini adalah pelatihan bermanfaat bagi dosen dan pemangku kepentingan di bidang rekam medis dan manajemen informasi kesehatan dalam merumuskan analisis SWOT.

Activity-based costing (ABC) is an accounting method that identifies and assigns costs to overhead activities. It provides more accurate information about cost so that the hospital can boost its financial efficiency and efficacy as stated in their strategic planning. Laboratoryisoneofthebusiestunitswhich has a big role for doctors in diagnostic procedures. This study aimed to elaborate the regulation and to examine the unit cost of laboratory services atNaili DBS Hospital in 2017 using the ABC method. This research was a mixed method study carried out in 2018. First, it was conducted by interviewing five informants regarding the hospital's unit cost regulation and then by calculating laboratory services' unit costs based on the ABC method. The qualitative study showed that Naili DBS Hospital determines their unit cost using traditional accounting system which has no control over their resource usage. On the other hand, the quantitative study showed that unit cost of routine blood count and clotting & bleeding time examinations were overcosted (by Rp45.389 and Rp33.904, respectively) and random blood sugar is undercosted (by Rp33.904). This study suggests that Naili DBS Hospital should evaluate their laboratory services' unit cost, review the use of their resources, and hold training about the ABC method.