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What is the difference between Remote Pro Fee Coder vs Remote Medical Biller?

AspectRemote Pro Fee CoderRemote Medical Biller
Primary RoleAssigns medical codes for diagnoses and procedures based on medical recordsProcesses and submits insurance claims, manages billing and payments
CredentialsCertification in coding (e.g., CPC, CCS)Knowledge of billing software, insurance policies
Work EnvironmentRemote, healthcare facilities, coding companiesRemote, healthcare providers, billing companies
Industry UsageHealthcare, medical coding companiesHealthcare, insurance companies, billing services

The Remote Pro Fee Coder primarily focuses on assigning accurate medical codes for billing and documentation, while the Remote Medical Biller handles the submission of claims and manages payments. Both roles often work remotely within the healthcare industry and require knowledge of healthcare procedures and insurance processes. Understanding these differences helps job seekers identify the right role based on their skills and career goals.

What are the most commonly searched types of Pro Fee Coder jobs in Tennessee? The most popular types of Pro Fee Coder jobs in Tennessee are:
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Remote Pro Fee Coder jobs near you
Software Engineer - Integrations

Software Engineer - Integrations

BlueCross BlueShield of Tennessee

Chattanooga, TN • On-site, Remote

$94K - $127K/yr

Full-time

Posted 4 days ago

Job description

We are hiring a Software Engineer - Integrations on the Enterprise Services API Support team at BCBST!
In this role, you will build and support enterprise APIs that connect critical applications across the organization. You'll work across the full API lifecycle by partnering with application teams to design and deliver integration solutions, while also supporting production environments through incident response, release management, and deployments. Your work will directly impact the reliability, scalability, and stability of enterprise services, with opportunities to drive continuous improvement in API performance, governance, and overall platform health.
To be successful in this role, in addition to core engineering fundamentals, you'll bring strong experience working with APIs and IBM App Connect Enterprise (ACE). You will be a strong candidate if you have hands-on experience with IBM API Connect and a proven ability to support and enhance complex integration environments. Experience within the healthcare industry is preferred and will help you quickly add value in this environment.
Note:
  • This role includes participation in an on-call rotation (one full week approximately every six weeks) and after-hours deployment activities.
  • This is a remote, work-from-home position, but the final round of interviews will take place on-site in our Chattanooga, TN office.
  • Candidates must be able to work EST hours.
  • Sponsorship is not available for this role.

Job Responsibilities
  • Formulates and defines system scope and objectives through research and fact-finding to design, develop, modify, or integrate complex information systems.
  • Devises or modifies application systems and procedures to optimize functional requirements including capacity, operating time, response time, and form of desired results.
  • Designs, codes, tests, debugs, and documents programs, subroutines, and scripts.
  • May serve one or more project team roles, such as project lead, business systems analyst, or technical lead, for small to medium efforts or manage phases of medium to large efforts.
  • Maintains technical skill set for software languages, databases, platforms, operating systems, utilities and networks needed to support work assignments.
  • Responds to system failures and performance events by taking appropriate measures to reduce system downtime and eliminate recurrence of problems.
  • Regularly provides guidance and training to less-experienced analysts/programmers

Job Qualifications
Education
  • Bachelor's Degree in a Computer Sciences related field or equivalent work experience. Equivalent experience is defined as 4 years of professional work experience in a corporate environment.

Experience
  • 3 years - Systems and programming experience required
  • 1 year - Experience with information technology concepts, application development methodology, terminology, and standards required
  • 1 year - Expert working knowledge of at least one programming language in use at BCBST.

Skills/Certifications
  • Proven technical background with a history of designing and documenting integration solutions, ensuring interoperability, security, and performance
  • Proficient in programming languages and tools relevant to integration and application development.
  • Experienced in API design, development, and management
  • Proven analysis, design, and coding skills, and demonstrated success in leading large and complex projects
  • Demonstrated ability to interpret and translate technical and/or or complex concepts into information meaningful to project team members and/or business personnel.
  • Be organized, reliable, and able to manage multiple tasks with exceptional work ethic.
  • Leadership skills: Must be able to communicate effectively with both technical and non-technical co-workers

Number of Openings Available
1
Worker Type:
Employee
Company:
BCBST BlueCross BlueShield of Tennessee, Inc.
Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

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