We consider an uncoordinated Gaussian multiple access channel with a relatively large number of active users within each block. A low complexity coding scheme is proposed, which is based on a combination of compute-and-forward and coding for a binary adder channel. For a wide regime of parameters of practical interest, the energy-per-bit required by each user in the proposed scheme is significantly smaller than that required by popular solutions such as slotted-ALOHA and treating interference as noise.