Medical Coder and Biller (E/M Coding Experience)

Child Health Associates is seeking an experienced Medical Coder/Biller to join our billing team. We're looking for a detail-oriented, organized professional with strong Evaluation & Management (E/M) coding experience to support accurate coding, timely billing, and quality patient care. This is a full-time, on-site position based in our Auburn office.

Responsibilities

• 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.

Requirements

• 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

• Competitive salary based on experience
• 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