Christina Forgette
@christinaforgette
I improve HCC risk adjustment coding quality through auditing, education, and accurate medical record review.
United StatesWhat I'm looking for
I'm currently an HCC Quality Assurance Auditor at Datavant, where I provide detailed audit feedback and ongoing education on missed or incorrect ICD-10 codes and client-based notes.
Previously at Cotiviti, I led workflow for 10 risk adjustment coders, audited charts against client specifications, managed schedules, and prepared project progress reporting. I also communicated coding trends and educational opportunities through coding meetings, round tables, and newsletters.
As a Quality Analyst and HCC Medical Coder, I reviewed medical records, assigned Medicare HCC diagnosis codes, completed code-capture work across handwritten notes and EMR systems, and maintained 97% coding accuracy and completeness.
I've worked across Medicare, commercial, and Medicaid risk adjustment coding in high-volume remote environments, supported by CPC and CRC certifications and strong knowledge of medical terminology, pharmacology, disease processes, and inpatient and outpatient records.
Experience
Work history, roles, and key accomplishments
HCC Quality Assurance Auditor
Datavant
Oct 2021 - Present (4 years 10 months)
Provide education through detailed feedback within audits and ongoing education for identified missed or incorrect ICD-10 codes. Maintain communication with coders and management on errors, trends, and educational opportunities.
Team Lead Risk Adjustment Coding
Cotiviti
Aug 2019 - Oct 2021 (2 years 2 months)
Managed workflow for ten coders, reviewed medical records for accuracy, and audited charts to meet client coding specifications. Developed team communications, prepared daily reports, and managed schedules.
Risk Adjustment Coding Quality Analyst
Cotiviti
Aug 2015 - Jun 2019 (3 years 10 months)
Performed coding quality reviews daily, provided education on coding errors and trends, and completed reports to track coder performance. Reviewed medical records and assigned diagnosis codes including Medicare HCC, maintaining 97% accuracy.
HCC Medical Coder
Cotiviti
Aug 2013 - Aug 2015 (2 years)
Performed chart reviews to provide and verify accurate Medicare HCC and ACA HCC diagnostic coding based on services rendered in outpatient and inpatient settings. Maintained 97% accuracy.
Education
Degrees, certifications, and relevant coursework
AAPC
Certified Risk Adjustment Coder (CRC), Risk Adjustment Coding
Earned Certified Risk Adjustment Coder (CRC) certification from AAPC in 2017.
AAPC
Certified Professional Coder (CPC), Medical Coding
Earned Certified Professional Coder (CPC) certification from AAPC in 2013.
J. Tyler Community College
Associate Degree, General Studies
Attended J. Tyler Community College in 1999.
Monacan High School
High School Diploma, General Studies
Completed high school education at Monacan High School in 1998.
Availability
Location
United StatesAuthorized to work in
Job categories
Skills
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