Medical Coder and Biller

Child Health Associates•Auburn, MA

1d•Onsite

About The Position

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.

Requirements

High school diploma or equivalent required.
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.

Nice To Haves

Certified Professional Coder (CPC) certification preferred.
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.

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.