Medical Coder and Biller

Childhealthassociates; Pondville (MA); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

Health insurance

401(k) with employer match

Paid time off

Job summary

Child Health Associates in Auburn, MA is seeking an experienced Medical Coder/Biller to join our Billing team. The role focuses on accurate ICD-10-CM, CPT, HCPCS and E/M coding to support timely reimbursement and quality patient care.

The candidate should have 2-3 years of medical coding and billing experience, including E/M coding, and be proficient with ICD-10-CM, CPT, HCPCS, CMS guidelines, and EPIC or another EHR system. This is a full-time, on-site position based in our Auburn office.

Qualifications

• 2-3 years of medical coding and billing experience with significant E/M coding.
• Proficient in ICD-10-CM, CPT, HCPCS, and CMS guidelines.
• Experience with EPIC or another EHR system.

Responsibilities

• Review provider documentation and assign ICD-10-CM, CPT, HCPCS and E/M codes.
• Ensure coding is compliant with CMS guidelines and payer requirements.
• Submit and monitor insurance claims for timely reimbursement.
• Review documentation to ensure appropriate E/M level and opportunities for improvement.
• Research and resolve claim denials, coding edits, and payment discrepancies.
• Collaborate with providers and staff to improve documentation and coding accuracy.
• Perform charge entry, payment posting, and accounts receivable follow-up as needed.
• Participate in coding audits and quality improvement initiatives.
• Maintain patient confidentiality and HIPAA compliance.
• Stay current on coding changes, payer policies, and industry best practices.

Skills

Medical coding

E/M coding

Billing experience

Attention to detail

Communication skills

Education

High school diploma or equivalent

CPC certification

Tools

EPIC

Job description

Medical Coder/Biller – Full Time

Child Health Associates is looking for an experienced Medical Coder/Biller to join our Billing team! We're looking for someone with strong Evaluation & Management (E/M) coding experience who is detail-oriented, organized, and enjoys working collaboratively to support accurate coding, timely billing, and quality patient care.

This is a full-time, on-site position based in our Auburn office.

What You'll Do

• Review provider documentation and assign accurate ICD-10-CM, CPT, HCPCS, and E/M codes.
• Ensure coding is compliant with CMS guidelines, payer requirements, and current coding regulations.
• Submit and monitor insurance claims for timely reimbursement.
• Review documentation to ensure it supports the appropriate level of E/M services and identify opportunities for improvement.
• Research and resolve claim denials, coding edits, and payment discrepancies.
• Work closely with providers and staff to improve documentation and coding accuracy.
• Perform charge entry, payment posting, and accounts receivable follow-up as needed.
• Participate in coding audits and quality improvement initiatives.
• Maintain patient confidentiality and comply with all HIPAA regulations.
• Stay current on coding changes, payer policies, and industry best practices.

What We're Looking For

• High school diploma or equivalent required.
• Certified Professional Coder (CPC) certification preferred.
• At least 2-3 years of medical coding and billing experience with significant E/M coding experience.
• Strong working knowledge of ICD-10-CM, CPT, HCPCS, and CMS documentation guidelines.
• Experience using EPIC or another electronic health record (EHR) system.
• Excellent attention to detail, organizational skills, and problem-solving abilities.
• Strong written and verbal communication skills.
• Ability to work independently while managing multiple priorities and meeting deadlines.

Preferred Experience

• Pediatric or physician practice coding experience.
• Experience working with Medicaid and commercial insurance plans.
• Familiarity with payer-specific coding and reimbursement guidelines.
• Previous coding audit or compliance experience.

Schedule

• Full-time
• Monday-Friday
• On-site in Auburn, MA

Benefits

CHA offers a competitive salary based on experience, along with a comprehensive benefits package that includes:

• Health, dental, and vision insurance
• Paid time off
• 401(k) with employer match
• Life insurance
• Employee Assistance Program (EAP)
• Flexible Spending Accounts (FSA)
• Ongoing training and professional development opportunities

If you're an experienced medical coder looking to join a collaborative pediatric practice that values accuracy, teamwork, and exceptional patient care, we’d love to hear from you!