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Hospital Accounting Jobs in Virginia (NOW HIRING)

Accounting Manager

Mechanicsville, VA · On-site

$115K - $120K/yr

... in leading hospitals, health systems and research centers around the world. For over 140 years ... The Accounting Manager is responsible for supporting the corporate accounting function with a ...

Accounting Supervisor, GL

Alexandria, VA · On-site

$110K - $209K/yr

The Accounting Supervisor is responsible for the financial operations of the hospital system by overseeing daily accounting tasks, month-end close processes, financial statements, reconciled accounts ...

The Accounting Supervisor is responsible for the financial operations of the hospital system by overseeing daily accounting tasks, month-end close processes, financial statements, reconciled accounts ...

The Accounting Supervisor is responsible for the financial operations of the hospital system by overseeing daily accounting tasks, month-end close processes, financial statements, reconciled accounts ...

Accounting Supervisor, GL

Alexandria, VA · On-site

$110K - $209K/yr

The Accounting Supervisor is responsible for the financial operations of the hospital system by overseeing daily accounting tasks, month-end close processes, financial statements, reconciled accounts ...

Accounting Supervisor

Dunn Loring, VA · Hybrid

$48.08 - $55.29/hr

Accounting Supervisor (Hybrid) The Accounting Supervisor supports the Gross Margin function within ... Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax ...

Accounting Supervisor

Vienna, VA · On-site

$48.08 - $55.29/hr

Accounting Supervisor (Hybrid) The Accounting Supervisor supports the Gross Margin function within ... Illness, Accident, and Hospital • 401(k) Retirement Plan - Pre-tax and Roth post-tax ...

Accounting Supervisor

Vienna, VA · On-site

$48.08 - $55.29/hr

Accounting Supervisor (Hybrid) The Accounting Supervisor supports the Gross Margin function within ... Illness, Accident, and Hospital • 401(k) Retirement Plan - Pre-tax and Roth post-tax ...

Accounting Supervisor

Dunn Loring, VA · Hybrid

$48.08 - $55.29/hr

Accounting Supervisor (Hybrid) The Accounting Supervisor supports the Gross Margin function within ... Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax ...

... leading hospitals, healthsystemsand research centers around the world. For over140years, Owens ... The Accounting Manager is responsible for supporting the corporate accounting function with a ...

Accounting Associate

Alexandria, VA · On-site

$60K - $78K/yr

The Accounting Associate position will be responsible for performing procedures such as document ... Accident, Critical Illness, Hospital Indemnity Insurances * Legal Insurance and Pet Insurance

The Accounting Analyst assists the management in defining the control objectives and monitoring ... hospital indemnity and critical illness insurance; adoption, surrogacy, and fertility benefits and ...

The Accounting Analyst assists the management in defining the control objectives and monitoring ... hospital indemnity and critical illness insurance; adoption, surrogacy, and fertility benefits and ...

The Accounting Analyst assists the management in defining the control objectives and monitoring ... hospital indemnity and critical illness insurance; adoption, surrogacy, and fertility benefits and ...

Senior Accounting Manager (Hybrid) The Senior Accounting Manager (Gross Margins) leads the end-to ... Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax ...

Senior Accounting Manager (Hybrid) The Senior Accounting Manager (Gross Margins) leads the end-to ... Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax ...

Senior Accounting Manager

Vienna, VA · On-site

$72.12 - $81.73/hr

Senior Accounting Manager (Hybrid) The Senior Accounting Manager (Gross Margins) leads the end-to ... Illness, Accident, and Hospital • 401(k) Retirement Plan - Pre-tax and Roth post-tax ...

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Hospital Accounting information

See Virginia salary details

$12

$21

$30

How much do hospital accounting jobs pay per hour?

As of Aug 3, 2026, the average hourly pay for hospital accounting in Virginia is $21.89, according to ZipRecruiter salary data. Most workers in this role earn between $18.61 and $24.33 per hour, depending on experience, location, and employer.

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 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 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 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 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 Virginia? For Hospital Accounting jobs in Virginia, the most frequently searched job titles are:
Infographic showing various Hospital Accounting job openings in Virginia as of July 2026, with employment types broken down into 84% Full Time, 10% Part Time, 1% Temporary, and 5% Contract. Highlights an 89% Physical, 5% Hybrid, and 6% Remote job distribution, with an average salary of $45,534 per year, or $21.9 per hour.

Assistant Chief Financial Officer

Reston Hospital Center

Reston, VA • On-site

$127K - $203K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 days ago


Job description

This position is incentive eligible.
Salary Estimate: $127129.60 - $203403.20 / year
Learn more about the benefits offered for this job.

The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

Introduction

Executives thrive with us! HCA Healthcare is one of the nation’s leading providers of healthcare services, comprising of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We are looking for an Assistant Chief Financial Officer for our Reston Hospital Center team where excellence creates excellence.

Benefits

Reston Hospital Center, 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 has expanded our influence across the healthcare industry by investing $3.5 billion in capital improvements in recent years. Do you want to be an influencer in healthcare? Apply for our Assistant Chief Financial Officer role today!

Job Summary and Qualifications

The Assistant Chief Financial Officer (ACFO) is a critical financial leadership pipeline role that serves as a direct tributary into the hospital Chief Financial Officer (CFO) role. This position manages the Financial Accounting and Reporting Department to ensure that it is providing effective and efficient service.  


 
What you will do in this role: 


  • You will demonstrate understanding of application of healthcare finance to impact clinical and financial results 


  • You will execute HCA Healthcare’s capital asset management process 


  • You will demonstrate knowledge of HIM and Case Management/Care Coordination functions 


  • You will establish expertise in productivity, staffing and scheduling 


  • You will demonstrate competence in hospital accounting, internal control environment and compliance requirements 


  • You will establish executive presence (temperament, competencies and skills across situations) 


What qualifications you will need: 


  • Bachelors in Finance, Accounting, or other related area required 


  • Master’s degree in related field preferred 


  • Minimum of three years in finance/accounting or public accounting/audit experience 


  • Experience as a hospital Controller preferred 


  • Previous supervisory experience preferred 


  • CPA preferred 


Reston Hospital Center has provided quality healthcare services since 1986. We give patient's access to trained physicians and advanced technology. Our 230+ bed hospital is one of the region's leading acute care facilities in Reston and the growing Northern Virginia region. We offer a full range of medical services, including 24-hour emergency care. Our hospital specializes in maternal/child health, surgical services on both an inpatient and extensive outpatient basis. We offer urological services including lithotripsy. Our cancer care offers state-of-the-art radiation therapy, rehabilitation therapy programs and a wide array of diagnostic imaging capabilities. Reston Hospital Center is a certified Stroke Center, certified Total Joint Center and the only accredited Chest Pain Center in Northern Virginia. We are the only Hospital in Northern Virginia to receive Joint Commission designation as a Top Performer on Key Quality measures for multiple consecutive years.

At Reston Hospital Center, our care like family culture extends to our patients, our people and our community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way.

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.


"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you're looking for a leadership opportunity that provides both personal satisfaction and professional growth, apply to join HCA Healthcare as an Assistant Chief Financial Officer. Unlock your leadership potential with HCA Healthcare.

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.

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