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Hospital Accounting Jobs (NOW HIRING)

Medical Center Hospital

Accountant

Odessa, TX · On-site

$23.52 - $38.12/hr

Previous Accounting experience required, Hospital accounting experience preferred. C. Job Knowledge:Should possess technical and professional accounting skills, have written and verbal communication ...

Medical Center Hospital

Accountant

Odessa, TX · On-site

Previous Accounting experience required, Hospital accounting experience preferred. C. Job Knowledge:Should possess technical and professional accounting skills, have written and verbal communication ...

Windom Area Hospital

Senior Accountant

Windom, MN · On-site

$73K - $92K/yr

Minimum of 2-5 years of accounting experience. * Healthcare or hospital accounting experience preferred. * Experience with Medicare reimbursement, cost reporting, or Critical Access Hospital ...

FOCUSPOINT

Senior Accountant

Brentwood, TN · On-site

$70K - $88K/yr

This role is ideal for an accounting professional who has previously worked within acute care hospital accounting environments , understands the pace and rigor of healthcare financial operations, and ...

Unity Physicians Hospital

Controller

Mishawaka, IN · On-site

The Controller is responsible for overseeing the hospital's accounting operations and ensuring the accuracy, integrity, and timeliness of financial reporting. This role manages the monthly financial ...

Hoag

Sr Staff Accountant: Accounting

Costa Mesa, CA · On-site

$74K - $91K/yr

Knowledgeable of GAAP principles and, for Hospital Accounting roles, OSHPD guidelines for financial preparation. Maintains a working knowledge of department standard operating procedures. Projects an ...

The Staff Pad

Staff Accountant

Manchester, TN · On-site

$20 - $26/hr

General Ledger accounting * Financial reporting * Reconciliations and month-end processes * Healthcare or hospital accounting experience * Experience supporting multi-entity or multi-site operations

The Staff Pad

Staff Accountant

Russellville, AL · On-site

$42K - $56K/yr

General Ledger accounting Financial reporting Reconciliations and month-end processes Healthcare or hospital accounting experience Experience supporting multi-entity or multi-site operations High ...

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Hospital Accounting information

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How much do hospital accounting jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for hospital accounting in the United States is $22.08, according to ZipRecruiter salary data. Most workers in this role earn between $18.75 and $24.52 per hour, depending on experience, location, and employer.

What is hospital accounting?

Hospital accounting refers to the specialized field of accounting that manages and tracks the financial activities of a hospital or healthcare facility. It involves recording, analyzing, and reporting financial transactions such as patient billing, insurance claims, payroll, and operating expenses. Hospital accountants ensure compliance with healthcare regulations, maintain accurate financial records, and support budgeting and financial planning. Their work is crucial for maintaining the financial health and transparency of the hospital.

What are the key skills and qualifications needed to thrive as a hospital accountant?

To thrive as a Hospital Accountant, you need strong expertise in accounting principles, financial analysis, and healthcare regulations, usually supported by a degree in accounting or finance. Familiarity with hospital financial systems like Meditech, QuickBooks, or Epic, as well as certifications such as CPA, is highly valuable. Attention to detail, analytical thinking, and strong communication skills help ensure accuracy and effective collaboration with medical and administrative staff. These skills are crucial for maintaining financial integrity, compliance, and efficient resource management within a complex healthcare environment.

What are some common challenges faced by professionals working in hospital accounting, and how can they be managed?

Hospital accounting professionals often encounter challenges such as navigating complex billing systems, staying updated with ever-changing healthcare regulations, and reconciling large volumes of transactions. Managing these challenges typically involves ongoing training in compliance standards, effective use of healthcare accounting software, and close collaboration with clinical and administrative staff to ensure accurate financial reporting. Proactive communication and attention to detail are key to successfully managing these responsibilities and maintaining financial integrity within the hospital environment.

What is the difference between Hospital Accounting vs Medical Billing?

AspectHospital AccountingMedical Billing
CredentialsAccounting degree, CPA (optional)Medical coding certification, CPC or equivalent
Work EnvironmentHospitals, healthcare finance departmentsMedical offices, billing companies, healthcare providers
Employer & Industry UsageHospitals, healthcare organizationsMedical practices, billing services
Primary FocusFinancial management, budgeting, accounting recordsProcessing insurance claims, coding, billing patients

Hospital Accounting focuses on managing the financial records and budgets of healthcare facilities, ensuring compliance and accurate reporting. Medical Billing involves coding patient services and submitting claims to insurance companies. Both roles are essential in healthcare finance but serve different functions within the industry.

What does a hospital accountant do?

A hospital accountant manages financial records, prepares budgets, processes billing and payments, and ensures compliance with healthcare regulations. They use accounting software and often work closely with hospital administration to monitor financial performance and support fiscal decision-making.
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Hospital Accounting jobs near you
Infographic showing various Hospital Accounting job openings in the United States as of August 2026, with employment types broken down into 80% Full Time, and 20% Contract. Highlights an 80% In-person, and 20% Hybrid job distribution, with an average salary of $45,928 per year, or $22.1 per hour.

Hospital Accounting Manager

Tulsa, OK • On-site

i4 Search Group Healthcare
Recruiting and Staffing Services • 11 - 50 employees
Learn more about i4 Search Group Healthcareexternal

$90K - $130K/yr

Full-time

Re-posted 27 days ago

Job description

Accounting Manager - Hospital

Direct Hire | Full-Time | Onsite

Schedule: Monday – Friday, 8:00 AM – 4:30 PM

Compensation: $90,000 – $130,000 annually


Minimum 4 years in healthcare required



Position Overview

We are seeking an experienced Accounting Manager to oversee day-to-day financial accounting operations across multiple entities. This leadership role supervises a team of 10–15 accounting professionals and is responsible for ensuring accurate financial reporting, strong internal controls, and compliance with generally accepted accounting principles (GAAP). The ideal candidate brings strong reconciliation expertise, healthcare accounting exposure, and proven leadership experience in a complex financial environment.


Key Responsibilities

  • Oversee daily accounting operations, including journal entries, bank reconciliations, balance sheet reconciliations, accounts payable, cash management, fixed assets, and general ledger activity.
  • Review monthly financial statements for accuracy, completeness, and reasonableness.
  • Evaluate financial reporting processes and recommend operational improvements.
  • Participate in annual operating and capital budget processes.
  • Coordinate general ledger interfaces to ensure proper posting and reporting.
  • Lead month-end and year-end close validation.
  • Prepare tax filings or required reporting for assigned entities (including franchise and personal property renditions).
  • Coordinate and support annual external audits, including preparation of workpapers and auditor requests.
  • Oversee fixed asset accounting and annual physical inventory.
  • Support capital project accounting and property/equipment tracking throughout the year.
  • Develop, maintain, and enhance accounting systems and procedures.
  • Provide financial reporting and analysis support to executive leadership.
  • Respond to departmental financial inquiries and provide budget-related guidance.
  • Lead special projects and process improvement initiatives as assigned.


Leadership Responsibilities

  • Supervise, mentor, and develop a team of 10–15 accounting staff.
  • Organize workflow and manage daily priorities across multiple functional areas.
  • Select, train, evaluate, and provide ongoing coaching to team members.
  • Foster a collaborative, professional, and accountable work environment.


Required Qualifications

  • Bachelor’s degree in Accounting.
  • Supervisory experience in an accounting environment.
  • Strong knowledge of GAAP and financial reporting.
  • Advanced reconciliation experience.
  • Proficiency in Excel and Microsoft 365 applications (PowerPoint included).
  • Ability to work independently and manage multiple competing deadlines.
  • Strong written and verbal communication skills.
  • Experience working within complex financial systems.


Preferred Qualifications

  • CPA certification (preferred).
  • Healthcare accounting experience (5+ years preferred; candidates with some healthcare exposure will be considered).


What We’re Looking For

  • A hands-on accounting leader who balances detail orientation with strategic thinking.
  • A mentor committed to team development and long-term growth.
  • A professional seeking stability and long-term career progression.
  • Someone comfortable working in a dynamic environment with evolving priorities.