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Hospital Accounting Jobs in Raleigh, NC (NOW HIRING)

Overview The Executive Director of Accounting is responsible for the preparation of the financial statements for WakeMed Health & Hospitals, a 919-bed private, not-for-profit health care system.

Staff Accountant- Full Time

Garner, NC · On-site

$49K - $64K/yr

Completes and maintains third party contracts and manages hospital fixed assets. Assists in ... Manages accounting functions including maintenance of general ledger, accounts payable, and project ...

Staff Accountant- Full Time

Raleigh, NC · On-site

$53K - $70K/yr

Completes and maintains third party contracts and manages hospital fixed assets. Assists in ... Manages accounting functions including maintenance of general ledger, accounts payable, and project ...

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Hospital Accounting information

See Raleigh, NC salary details

$12

$21

$29

How much do hospital accounting jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for hospital accounting in Raleigh, NC is $21.46, according to ZipRecruiter salary data. Most workers in this role earn between $18.22 and $23.85 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 Raleigh, NC?

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

What job categories do people searching Hospital Accounting jobs in Raleigh, NC look for?

The top searched job categories for Hospital Accounting jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Hospital Accounting jobs?

Cities near Raleigh, NC with the most Hospital Accounting job openings:

Infographic showing various Hospital Accounting job openings in Raleigh, NC as of August 2026, with employment types broken down into 83% Full Time, and 17% Contract. Highlights an 84% In-person, and 16% Hybrid job distribution, with an average salary of $44,643 per year, or $21.5 per hour.

$200 - $250/hr

Other

Posted 11 days ago


WakeMed rating

7.7

Company rating: 7.7 out of 10

Based on 135 frontline employees who took The Breakroom Quiz

165th of 898 rated healthcare providers


Job description

Overview

The Executive Director of Accounting is responsible for the preparation of the financial statements for WakeMed Health & Hospitals, a 919-bed private, not-for-profit health care system. Ensures the accuracy and integrity of the statements. Directly supervises managers, supervisors, and professional staff. Areas of oversight include accounts payable, payroll, capital accounting, affiliate and wholly-owned entity accounting, statistical reporting, general ledger maintenance and reporting, cash and investment management, bond reporting, accounting and reporting for subsidiaries, and accounting and reporting for grants and restricted funds. Assists departmental management staff and executive staff with financial information and reporting. Responsible for departmental budgets, departmental staff meetings, internal and external audit requests and hospital department questions and requests. Directs financial activities by performing the following duties personally or through managers or direct reporting staff. Prepares reports, which summarize company business activity and financial position in areas of income, expenses, and earnings based on past, and present operations. Delegates responsibility to direct reports for specific departmental duties and determines efficiency in the performance through observation and review of work. Develops goals for the Accounts Payable, Accounting and Payroll departments and internal control functions for the organization. Directs the financial reporting and accounting for the WakeMed system and affiliated entities. Directs determination of capital assets. Arranges for audits of organization and wholly-owned entities. Prepares reports required by regulatory agencies, including all tax filings (except benefit plans). Maintains an atmosphere of professionalism within the company through training, motivation, meetings, discussions and through counseling direct reports as needed. Ensure data integrity within assigned systems. Establishes department policies, budgets and goals and objectives and maintains departmental expenditures within budgetary limits. Reviews organizational accounting policies, techniques, and internal controls, and implements changes when necessary to improve accounting operations and statements.

Department Description

Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org.

EOE

Licensure

Certified Public Accountant Preferred

Education

Bachelor's Degree Accounting Required - And Master's Degree Business Administration Or Health Administration Preferred

Experience

10 Years Accounting/Finance - Accounting Required

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What WakeMed employees say

Pay

Benefits

Hours and flexibility

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About WakeMed

Sourced by ZipRecruiter

Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Raleigh, NC, US

Year founded

1961