Role vocabulary

ATS resume keywords for US Healthcare RCM and Medical Billing

These are the 28 terms our scorer checks a US Healthcare RCM and Medical Billing resume against. It is the same list the free check uses, published in full.

The vocabulary

Coverage is 25 of the 100 points. Sixty percent of this list is full marks, so you do not need all of it, and stuffing every term in is penalised separately.

  • revenue cycle
  • rcm
  • medical billing
  • medical coding
  • cpt
  • icd-10
  • hcpcs
  • claims
  • claim denial
  • denial management
  • ar follow up
  • accounts receivable
  • payer
  • prior authorization
  • eligibility verification
  • charge entry
  • payment posting
  • eob
  • hipaa
  • clearinghouse
  • appeals
  • days in ar
  • clean claim rate
  • collections
  • epic
  • athena
  • ehr
  • provider

The eight questions for US Healthcare RCM and Medical Billing

The guided builder asks these, in this order, and turns each answer into a line on the page. Nothing is written that you did not type.

  1. 1.How many claims, accounts or charts do you process in a day or month?
  2. 2.What accuracy, clean claim rate or quality score do you hold?
  3. 3.What denial rate, days in AR or collection improvement did you drive, and by how much?
  4. 4.Which specialties, payers and systems do you work in daily?
  5. 5.How much AR or revenue do you follow up on or collect in a month?
  6. 6.Which certifications and coding standards do you hold or work under?
  7. 7.How many appeals, denials or rejected claims do you resolve in a month?
  8. 8.How many billers, coders or AR callers do you train, audit or supervise?
Answer them and see your score before paying

Words are the easy half

A resume can carry every term above and still be rejected, because coverage says what you know and nothing about what you delivered. The heaviest category on the rubric is evidence: how many of your bullets carry an actual figure.

Seven in ten is full marks. Most resumes we see manage two.

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