建立有效学习机制 提升病案编码水平

ESTABLISH AN EFFECTIVE MECHANISM OF LEARNING AND IMPROVE THE LEVEL OF MEDICAL CODING

目的提升病案编码员对疾病和手术的理性与感性认识,提高病案编码水平。方法通过建立有效学习机制,特别是后期参加临床科室的业务学习,观看编码中遇到的概念模糊和抽象的手术。结果编码员对疾病及手术有了较为透彻的理解并融会贯通,病案编码的准确性及处理疑难编码的能力大幅提高。结论建立有效学习机制,特别是参加临床科室的业务学习,能明显提高病案编码员的编码水平。

Objective Elevate the knowledge level of coder about disease and operation both in rational and in perceptual aspect in order to improve the level of medical coding. Methods Establish effective learning mecha- nism, especially joining the late clinical department business study, watch the code fit to the fuzzy and abstract con- cept of surgery. Results Because the coders have more knowledge and thorough understanding to disease and surger- y, the accuracy of medical coding and handling difficult coding ability increase. Conclusion The effective learning mechanism, especially joining the late clinical department business study, can evidently elevate the coding level of medical record coders.