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Hospital Accounting Jobs in Iowa (NOW HIRING)

Virginia Gay Hospital

Accounting Specialist

Vinton, IA · On-site

$20.75 - $28/hr

Accounting Specialist FT M-F 8 - 4:30 About VGH Virginia Gay Hospital, established in Vinton in 1923, is an independent, nonprofit critical access hospital supported by a strong local community. The ...

Veterans Health Administration

Accountant

Iowa City, IA · On-site +1

$61K - $97K/yr

The employee performs duties consistent with accounting principles, standards, and related ... At the Iowa City VA Health Care System, we're more than a hospital-we're a hub for innovation ...

Lemartec

Accountant

Iowa Center, IA · On-site

$70K - $90K/yr

Bachelor's degree in Accounting or equivalent a plus * Experience with Sage 300 Construction ... Voluntary life insurance, accident, critical illness, hospital indemnity coverage * Emergency ...

MasTec Inc

Accountant

Iowa Center, IA

$70K - $90K/yr

Bachelor's degree in Accounting or equivalent a plus * Experience with Sage 300 Construction ... Voluntary life insurance, accident, critical illness, hospital indemnity coverage * Emergency ...

Lemartec

Accountant

Iowa Center, IA

$70K - $90K/yr

Bachelor's degree in Accounting or equivalent a plus * Experience with Sage 300 Construction ... Voluntary life insurance, accident, critical illness, hospital indemnity coverage * Emergency ...

Lemartec

Accountant

Iowa Center, IA · On-site

$70K - $90K/yr

Bachelor's degree in Accounting or equivalent a plus * Experience with Sage 300 Construction ... Voluntary life insurance, accident, critical illness, hospital indemnity coverage * Emergency ...

Lemartec

Accountant

Iowa Center, IA

$70K - $90K/yr

Bachelor's degree in Accounting or equivalent a plus * Experience with Sage 300 Construction ... Voluntary life insurance, accident, critical illness, hospital indemnity coverage * Emergency ...

Lemartec

Accountant

Iowa Center, IA · On-site

$70K - $90K/yr

Bachelor's degree in Accounting or equivalent a plus * Experience with Sage 300 Construction ... Voluntary life insurance, accident, critical illness, hospital indemnity coverage * Emergency ...

Lemartec

Accountant

Iowa Center, IA · On-site

$70K - $90K/yr

Bachelor's degree in Accounting or equivalent a plus * Experience with Sage 300 Construction ... Voluntary life insurance, accident, critical illness, hospital indemnity coverage * Emergency ...

Lemartec

Accountant

Iowa Center, IA

$70K - $90K/yr

Bachelor's degree in Accounting or equivalent a plus * Experience with Sage 300 Construction ... Voluntary life insurance, accident, critical illness, hospital indemnity coverage * Emergency ...

Lemartec

Accountant

Iowa Center, IA · On-site

$70K - $90K/yr

Bachelor's degree in Accounting or equivalent a plus * Experience with Sage 300 Construction ... Voluntary life insurance, accident, critical illness, hospital indemnity coverage * Emergency ...

Lemartec

Accountant

Iowa Center, IA

$70K - $90K/yr

Bachelor's degree in Accounting or equivalent a plus * Experience with Sage 300 Construction ... Voluntary life insurance, accident, critical illness, hospital indemnity coverage * Emergency ...

Iowa Youth Services

Staff Accountant (56079)

Ames, IA · On-site

$53K - $71K/yr

Provide backup support to the Accounting Manager and Finance team as needed. * Enter charitable ... Supplemental accident, critical illness, and hospital indemnity insurance * Flexible Spending ...

YSS

Staff Accountant (56079)

Ames, IA

$53K - $71K/yr

Provide backup support to the Accounting Manager and Finance team as needed. * Enter charitable ... Supplemental accident, critical illness, and hospital indemnity insurance * Flexible Spending ...

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All JobsHospital Accounting JobsHospital Accounting Jobs in Iowa

Hospital Accounting information

See Iowa salary details

$12

$20

$28

How much do hospital accounting jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for hospital accounting in Iowa is $20.74, according to ZipRecruiter salary data. Most workers in this role earn between $17.60 and $23.03 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.

What are popular job titles related to Hospital Accounting jobs in Iowa?

For Hospital Accounting jobs in Iowa, the most frequently searched job titles are:

What job categories do people searching Hospital Accounting jobs in Iowa look for?

The top searched job categories for Hospital Accounting jobs in Iowa are:

What cities in Iowa are hiring for Hospital Accounting jobs?

Cities in Iowa with the most Hospital Accounting job openings:

Hospital Accounting jobs near you
Infographic showing various Hospital Accounting job openings in Iowa as of August 2026, with employment types broken down into 76% Full Time, 22% Part Time, and 2% Contract. Highlights an 87% In-person, 2% Hybrid, and 11% Remote job distribution, with an average salary of $43,138 per year, or $20.7 per hour.

Financial Planning Analyst Sr

UnityPoint Health

West Des Moines, IA • On-site

$78K - $97K/yr

Full-time

Medical, Dental, Retirement, PTO

Re-posted 15 days ago

UnityPoint Health rating

7.3

Company rating: 7.3 out of 10

Based on 362 frontline employees who took The Breakroom Quiz

305th of 894 rated healthcare providers

Job description

Overview
We are hiring a Financial Planning Analyst Senior to join our team at UnityPoint Health! This position plays a key role in the hospital accounting and financial reporting functions. This role helps ensure the integrity, accuracy and completeness of financial data and reporting within generally accepted accounting principles. Additionally, this position manages the monthly close process for UnityPoint Health at a regional level as well as analyzes and reviews financial statements to ensure accurate and timely financial reporting. Candidates with automation, PowerBI or Tableau experience are encouraged to apply!
Location: Remote - applicants must reside within the UnityPoint Health footprint of Iowa, Illinois, or Wisconsin
Hours: Monday-Friday, 8am-5pm
Why UnityPoint Health?
At UnityPoint Health, you matter. We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.
Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you're in. Here are just a few:
  • Expect paid time off, parental leave, 401K matching and an employee recognition program.
  • Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.
  • Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.
And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.
Find a fulfilling career and make a difference with UnityPoint Health.
Responsibilities
Accounting Functions - Center of Excellence
  • Manages the monthly close process for UnityPoint Health Senior Affiliates
  • Prepares financial statements and other reports to summarize and interpret current and projected company financial position
  • Ensures integrity of all financial information under US GAAP
  • Applies accounting and finance knowledge and expertise to help drive, influence and gain support to achieve overall strategic and financial initiatives
  • Operates as the subject matter expert in accounting matters related to the respective Senior Affiliate
  • Represents the finance and accounting function in acquisition analysis and acquisition integration and supports the related audit work
  • Prepares technical accounting memos to support accounting positions as required
  • Manages quarterly & annual reporting, including the completion of financial statements and footnotes, management's discussion and analysis encompassing review of all new accounting matters and application of judgment
  • Prepares regional Board packets
  • Reviews documentation prepared by accounting team for monthly financial statement preparation (i.e. journal entries, account reconciliations, etc.)
  • Drives process change and re-engineering to improve efficiencies in overall accounting, finance and business processes
  • Assists with research and documentation of proper accounting treatment for major transactions
  • Works heavily with leadership including Finance, Operations, Counsel and Business Development teams on complex structures to ensure the Company optimizes the appropriate accounting and financial reporting impacts. Regular contact with the VP Finance/CFO and business leaders
  • Collaborates with business partners to implement "better run" finance processes for finance activities especially as it relates to the execution of the shared service center.
  • Manages annual audit processes (internal and external), as well as supports the organization during regulatory audits and internal controls. Manages the relationship with the audit committee, internal & external audit and key external agencies.
  • Assists Director of Hospital Accounting and Director of Ambulatory Accounting on special projects.
  • Works closely with the treasury team on any debt and equity related transactions from an accounting perspective. Manages the debt covenant process in connection with the treasury team

Liaison with Regional Finance Teams
  • Consistent interaction with UnityPoint Health affiliates on managing monthly accounting functions and close process
  • Provides assistance to regional leadership related to managing and communicating financial results
  • Assists with preparation and review of regional annual operating budgets
  • Interacts frequently with regional finance leaders including site visits to assess compliance with corporate financial policies and the health & overall relevance of the local balance sheets and tracking of its various constituents
  • Ensures all deadlines and schedules are met on time and in accordance with regional Service Level Agreements

Qualifications
Education:
  • Required: Bachelor's degree in Finance, Accounting, or related field required
  • Preferred: CPA or MBA

Experience:
  • Minimum seven (7) years work experience in financial planning, budgeting, analytics, and accounting related fields
  • PowerBI and/or Tableau experience
  • Experience in automation

Knowledge, Skills, & Abilities:
  • Knowledge of generally accepted accounting principles and financial statement presentation necessary to support accurate financial reporting

What UnityPoint Health employees say

Pay

Benefits

Hours and flexibility

Workplace

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About UnityPoint Health

Sourced by ZipRecruiter

At UnityPoint Health, we provide care in nine regions throughout Illinois, Iowa, and Wisconsin. As the nation's fourth largest nondenominational health system in America, UnityPoint Health keeps people at the center of all we do. We are looking for dynamic and talented individuals to join our team. You'll find opportunities for every sized dream.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

West Des Moines, IA, US

Year founded

1995

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