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Hca Accounting Jobs in Texas (NOW HIRING)

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Hca Accounting information

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How much do hca accounting jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for hca accounting in Texas is $20.57, according to ZipRecruiter salary data. Most workers in this role earn between $17.45 and $22.84 per hour, depending on experience, location, and employer.

What is HCA accounting?

HCA accounting typically refers to accounting roles within Hospital Corporation of America (HCA Healthcare), one of the largest healthcare providers in the United States. Professionals in HCA accounting are responsible for managing financial records, preparing reports, overseeing budgets, and ensuring compliance with healthcare regulations. They play a crucial role in supporting the financial health of hospitals and healthcare facilities by tracking expenses, revenues, and ensuring accurate billing. This work helps ensure that hospitals can continue to provide quality care while maintaining financial stability.

What are the primary responsibilities of an HCA accounting professional on a day-to-day basis?

As an HCA Accounting professional, your daily responsibilities typically include managing financial transactions, preparing and analyzing financial statements, and ensuring compliance with healthcare financial regulations. You may also be involved in budgeting, cost analysis, and supporting audits. Collaboration with clinical staff, management, and other finance team members is common to ensure accurate reporting and support decision-making. The role often requires strong attention to detail and the ability to manage multiple tasks in a fast-paced healthcare environment.

What are the key skills and qualifications needed to thrive as an HCA accountant, and why are they important?

To excel as an HCA Accountant, you need a strong grasp of financial reporting, general ledger management, and a relevant accounting degree or certification such as CPA or CMA. Proficiency in accounting software like SAP, Oracle, or QuickBooks, as well as familiarity with healthcare-specific billing systems, is typically required. Attention to detail, analytical thinking, and strong communication skills help accountants ensure accuracy and collaborate effectively with teams. These competencies are vital for maintaining regulatory compliance, supporting financial health, and enabling data-driven decisions within the organization.

What is the difference between Hca Accounting vs Medical Billing Specialist?

AspectHca AccountingMedical Billing Specialist
CredentialsAccounting degree or certification, CPA preferredMedical billing certification, coding knowledge
Work EnvironmentHospitals, healthcare organizations, corporate officesClinics, hospitals, healthcare providers
Employer & IndustryHealthcare finance departments, hospitalsMedical practices, billing companies
Search & Comparison IntentFinancial roles in healthcare, accounting jobsMedical billing, coding, healthcare revenue cycle

Hca Accounting focuses on financial management, budgeting, and accounting within healthcare organizations, often requiring accounting credentials. Medical Billing Specialists handle patient billing, coding, and insurance claims, requiring certification in medical billing. While both roles operate within healthcare, Hca Accounting emphasizes financial analysis, whereas Medical Billing Specialists focus on revenue cycle management.

What cities in Texas are hiring for Hca Accounting jobs?

Cities in Texas with the most Hca Accounting job openings:

Infographic showing various Hca Accounting job openings in Texas as of August 2026, with employment types broken down into 25% As Needed, and 75% Full Time. Highlights an 100% In-person job distribution, with an average salary of $42,789 per year, or $20.6 per hour.

Controller

Cypress, TX • On-site

HCA Houston Healthcare North Cypress
Health Care and Social Assistance • 501 - 1,000 employees

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 5 days ago


Job description

This position is incentive eligible.
Introduction

Want to join a team of daring managers who care without reservations or limits? Our HCA Houston Healthcare North Cypress team is looking for a Controller. HCA Healthcare is an advanced healthcare network that has committed up to $300 million to our incredible team members over the course of three years.

Benefits

HCA Houston Healthcare North Cypress, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  • Family support through fertility and family building benefits with Progyny and adoption assistance.
  • Referral services for child, elder and pet care, home and auto repair, event planning and more
  • Consumer discounts through Abenity and Consumer Discounts
  • Retirement readiness, rollover assistance services and preferred banking partnerships
  • Education assistance (tuition, student loan, certification support, dependent scholarships)
  • Colleague recognition program
  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

HCA Healthcare is committed to research and clinical protocols. Do you want to impact standards of care and save lives across the country? Apply today to our Controller and be a part of the innovation of ideas.

Job Summary and Qualifications

Responsible for all financial reporting to include monthly close, budgeting, hospital, division, and corporate reporting. Also responsible for assisting CFO with financial analysis to aid in decision making. 

 What you will do in the role:

  • Defines responsibilities for all areas of Accounting. 
  • Manage Accounting and Financial reporting functions for the hospital. 
  • Produce daily department reports with significant variances reported to CFO. 
  • Comply with all SOX key controls in area of responsibility. 
  • Coordinates all audits (internal and external). 
  • Oversees all administrative and technical aspects of Accounting, Revenue Integrity and Materials Management. 
  • Advise Administration of substantial financial variances from budget and prior year. 
  • Coordinate with other department directors on interdepartmental matters. 
  • Oversee the preparation of various supporting schedules including, but not limited to, audits, cost reports, and tax returns. 
  • Financial Analysis and Reporting. 
  • Keep Administration informed of office trends, financial reports, audit reports. 
  • Monthly analysis of financial reports determining areas for improvement to be presented to CFO. 
  • Monthly close review. 
  • Participate in hospital management activities. 
  • Perform other similar and related duties as deemed appropriate by the CFO and CEO. 
  • Provide education and direction and participate in monthly DOR review process. 
  • Provide recruitment, staffing, supervision, leadership and development of personnel. 
  • Represent departments in the internal and external matters in the absence of the Chief Financial Officer. 
  • Responsible for initiating, coordinating, and compiling annual budget for CFO review. 
  • Reviews transactions and makes recommendations regarding Generally Accepted Accounting Principles.
What qualifications you will need:
  • Bachelor’s degree in Accounting / Finance, CPA preferred.  
  • Minimum of five years of healthcare accounting experience preferred
HCA Houston Healthcare North Cypress, a campus of HCA Houston Healthcare Kingwood, is a 165+ bed, general acute care hospital, founded in 2006 by local physicians who wanted to create a sophisticated, patient-friendly healthcare environment for their community. We strive to provide world-class healthcare to patients throughout Cypress, TX and Northwest Houston. HCA Houston North Cypress provides comprehensive services utilizing the latest in medical technology and equipment. We employ well-respected area physicians and aim to provide an upscale five-star hotel-like ambiance with the comfort of those we care for in mind. Our services include a 20+ bed unit ICU, robotic-assisted surgery, orthopedic care, joint replacement surgery, cancer care, advanced wound care services using hyperbaric medicine, advanced breast cancer screening and imaging, and much more. We are members of HCA Houston Healthcare, the most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the country, HCA Healthcare. Together we are stronger, smarter and more accessible in providing the patient-centered care you need close to home.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.


"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

Unlock your potential with a leading healthcare provider dedicated to its patients, colleagues and communities. Help guide our team as a Controller and help us improve more lives in more ways.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.