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Facility Coding and Reimbursement

Certified Instructor

On Demand

Certificate of Completion

Facility-based reimbursement can be challenging. It requires a basic understanding of the code sets and reimbursement methodologies.

This course will provide an in-depth understanding of inpatient diagnosis and procedure coding to teach those new to coding and experienced individuals to expand their knowledge. 

What Will I Learn?

  • The Anatomy of the Health Record
  • ICD10-CM Guidelines for Facilities
  • Understand procedure code structure for ICD10-PCS
  • Reimbursement Methodology for Facilities such as MS-DRG, AP-DRG and more
  • Proper Physician Queries
  • Compliance and Regulatory
  • Case Examples 

Areas Covered in the Session

  • The Inpatient record
  • ICD10-CM Guidelines Section II
  • ICD10-CM Guidelines Section III
  • Present on Admission
  • Introduction to ICD-10-PCS
  • Nervous System
  • Circulatory System
  • Respiratory System
  • Digestive System
  • Integumentary System
  • Musculoskeletal System
  • Genitourinary System
  • Pregnancy and Childbirth
  • Other Ancillary Procedures
  • Financials and Compliance
  • NCCI and Denials
  • Compliance and Regulatory
  • Facility Payment Methodology
  • Exam reminders and AHIMA Code of Ethics
  • Proper Physician Query Process


  • Operating System: Windows any version preferably above Windows Vista & Mac any version above OS X 10.6
  • Internet Speed: Preferably above 1 MBPS
  • Headset: Any decent headset and microphone which can be used to talk and hear clearly

Target Audience

  • Office Managers
  • Clinic Managers
  • Hospital Director
  • Medical Software Developers
  • Coders
  • Billers
  • Physicians
  • Nurses
  • Medical Assistants
  • Coding and Billing Trainee

About the instructor

Jennifer McNamara


I serve as the Director of Education and Coding for Oncospark. I bring impact and results with 20+ years of proven healthcare revenue cycle experience and effective instruction through Ozark Institute for 1000+ students. I have embraced the changes in the billing and coding space by embracing the movement to value based care and software deployment across specialties. I am committed to teaching others the intricate world of billing and coding and the future of the space. 

I started my Career in 2000 and have worked in many specialized areas of Coding including Orthopedics, Plastic Surgery, General Surgery, Ophthalmology, Podiatry and many more. My coding team provides Auditing, Consulting, RCM services, Credentialing and Compliance through our team of experts.

I am the host of the weekly podcast “Life as a Coder” discussing Health Information Management and how to succeed in the Business of Healthcare as well as tips for work life balance. It is available on many podcast stations and airs every Wednesday.

I have served as Education Officer for the Joplin MO AAPC Chapter previously and has written articles for AAPC Healthcare Business Monthly. I am a National public speaker and have been a past speaker at AAPC Healthcon as well as many specialty conferences and events both Virtually and In person including Decision Health for Orthopedics.


~ Heather Boliman

I absolutely loved the lay out with the pre-recorded sessions followed by the Zoom Q&A. I look forward to more info from you guys!

~ Carol Hodge

Speakers were excellent. Thoroughly enjoyed the event.