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Hospital Accounting Jobs in Ohio (NOW HIRING)

Manager Accounting

Wooster, OH · On-site

$98K - $158K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

In addition to five hospitals, seven emergency departments, seven urgent care centers, and more ... Organizes and directs accounting personnel in collecting, summarizing, and interpreting financial ...

... hospitals and healthcare systems nationwide. We are seeking a hands-on, strategic Director of ... Primary Responsibilities Accounting Operations * Lead the monthly, quarterly, and annual financial ...

Fleet Accounting Specialist

Cleveland, OH · On-site

$20.50 - $28/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Proven bookkeeping or accounting experience; trucking or logistics industry experience strongly ... Supplemental insurance options (short- and long-term disability, hospital indemnity, accident ...

Manages financial records, prepares and analyzes financial statements, and ensures compliance with accounting standards and regulations. Essential Functions: * Performs daily/weekly system processes ...

Assists in the preparation and analysis of financial reports prepared in accordance with generally accepted accounting principles, and maintains financial records for Nationwide Children's Hospital ...

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Showing results 1-20

Hospital Accounting information

See Ohio salary details

$12

$20

$28

How much do hospital accounting jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for hospital accounting in Ohio is $20.99, according to ZipRecruiter salary data. Most workers in this role earn between $17.84 and $23.32 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 job categories do people searching Hospital Accounting jobs in Ohio look for?

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

What cities in Ohio are hiring for Hospital Accounting jobs?

Cities in Ohio with the most Hospital Accounting job openings:

Infographic showing various Hospital Accounting job openings in Ohio as of August 2026, with employment types broken down into 1% Locum Tenens, 3% As Needed, 76% Full Time, 14% Part Time, and 6% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $43,663 per year, or $21 per hour.

Director, Accounting

University Hospitals

Shaker Heights, OH • On-site

Full-time

Re-posted 8 days ago


University Hospitals rating

7.3

Company rating: 7.3 out of 10

Based on 623 frontline employees who took The Breakroom Quiz

307th of 887 rated healthcare providers


Job description

A Brief Overview
The Director of Accounting is responsible for overseeing the financial accounting and reporting functions of a large, multi-facility healthcare system. This role ensures compliance with all accounting requirements, maintains internal controls, and provides financial insights to support strategic decision-making. The Director leads a team of accounting professionals and collaborates with operational and financial leaders to drive accuracy, efficiency, and fiscal responsibility.
What You Will Do

  • Oversee the preparation and accuracy of financial statements in accordance with GAAP and healthcare industry standards.
  • Manage annual audits, including coordination with external auditors and preparation of audit schedules.
  • Maintain strong internal controls to safeguard assets and ensure proper financial governance.
  • Direct general ledger accounting, monthly close processes, and financial reconciliations.
  • Oversee revenue recognition, expense allocations, and financial consolidations across multiple entities.
  • Lead and mentor a team of accountants, ensuring professional development and high performance.
  • Provide financial analysis and insights to support strategic decision-making by executive leadership.
  • Develop and implement accounting policies, procedures, and best practices to enhance financial operations.
  • Assist in the development of annual budgets and financial forecasts.
  • Monitor financial performance against budgets, identifying variances and recommending corrective actions.

Additional Responsibilities

  • Performs other duties as assigned.
  • Complies with all policies and standards.
  • For specific duties and responsibilities, refer to documentation provided by the department during orientation.
  • Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Education Qualifications

  • Bachelor's Degree in Accounting, Finance or related field (Required)
  • Master's Degree in Accounting, Finance, Business Administration, or Healthcare Administration (Preferred)

Experience Qualifications

  • 8+ years of progressive accounting experience (Required)
  • experience in managing accounting operations for a mulit-entity healthcare system (Preferred)

Skills and Abilities

  • Strong knowledge of GAAP, healthcare reimbursement, and regulatory compliance.
  • Experience with hospital finance, physician practice accounting, and revenue cycle financial reporting.
  • Proficiency in financial systems (e.g., Workday, Oracle, Epic, or other healthcare ERP systems).
  • Exceptional leadership, communication, and problem-solving skills.
  • Ability to analyze complex financial data and present insights to executive leadership.

Licenses and Certifications

  • Certified Public Accountant (CPA) (Required)

Physical Demands

  • Standing - Occasionally
  • Walking - Occasionally
  • Sitting - Constantly
  • Lifting - Rarely (up to 20 lbs)
  • Carrying - Rarely (up to 20 lbs)
  • Pushing - Rarely (up to 20 lbs)
  • Pulling - Rarely (up to 20 lbs)
  • Climbing - Rarely (up to 20 lbs)
  • Balancing - Rarely
  • Stooping - Rarely
  • Kneeling - Rarely
  • Crouching - Rarely
  • Crawling - Rarely
  • Reaching - Rarely
  • Handling - Occasionally
  • Grasping - Occasionally
  • Feeling - Rarely
  • Talking - Constantly
  • Hearing - Constantly
  • Repetitive Motions - Frequently
  • Eye/Hand/Foot Coordination - Frequently

What University Hospitals employees say

Pay

Benefits

Hours and flexibility

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About University Hospitals

Sourced by ZipRecruiter

For more than 155 years, University Hospitals has been on a mission to heal, teach and discover. As a renowned academic medical center and community hospital network, we’ve expanded across Northeast Ohio to deliver what matters most to our patients: personalized, compassionate care; medical discovery and breakthroughs; and high-quality, affordable care close to home.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Cleveland, OH, US

Year founded

1866