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为适应DRGs及DRGs-PPS的研究、HQMS数据上报、医院评价及医院质量管理等工作要求,ICD编码是提取病案首页信息的主要途径。通过分析影响ICD编码工作质量与效率的根本原因基础上,提出专科编码员的概念,论述专科编码员的重要意义与作用,并就专科编码员工作模式与主要任务进行分析。对ICD编码工作新模式的探讨,将为提高编码人员的业务能力、提高编码与病案信息服务质量及效率、增强编码人员团队凝聚力等方面提供参考。
In order to meet the work requirements of DRGs and DRGs-PPS research, HQMS data reporting, hospital evaluation and hospital quality management, ICD coding is the main way to extract the first page information of medical records. Based on the analysis of the root causes that affect the quality and efficiency of ICD coding work, this paper puts forward the concept of specialist coders, discusses the significance and function of specialist coders, and analyzes the working mode and main tasks of specialist coders. The discussion on the new mode of ICD coding work will provide reference for improving the coding ability of staff, improving the service quality and efficiency of coding and medical record information, and enhancing the cohesion of coding staff.