Controller

Spotsylvania Regional Medical Center; Fredericksburg (VA); On-site; USD 70,000 - 110,000; Full time

Benefits offered by this job

Health benefits

Wellbeing support

PTO & disability coverage

401(k) match

Tuition assistance

Job summary

Spotsylvania Regional Medical Center is seeking a qualified accounting professional to manage month-end close, reconciliations, and budgeting activities. The role will oversee Medicare Cost Report workpapers, tax workpapers, and VHI filings while ensuring SOX compliance across the hospital’s finance function.

The ideal candidate has a bachelor’s degree in accounting/finance, 3+ years of accounting experience (hospital experience preferred) and a preference for MBA/MAcc/MHA or CPA.

Qualifications

• Bachelor’s degree in Accounting, Finance, or related field required.
• Three years accounting experience required; hospital accounting preferred.
• One to two years supervising accounting staff preferred.

Responsibilities

• Prepare and review journal entries and monthly close processes.
• Complete balance sheet reconciliations and MOR reports.
• Oversee annual budget development.
• Oversee Medicare Cost Report workpapers with Corporate Reimbursement.
• Oversee annual tax workpapers and VHI filing.
• Maintain SOX compliance and internal controls.

Skills

Three years accounting

Supervising accounting staff

Education

Bachelor’s degree in Accounting/Finance

MBA / MAcc / MHA preferred

CPA preferred

Job description

Job Summary and Qualifications

• Month‑End Close Process: Prepare and review journal entries, perform analysis to ensure the general ledger is materially correct (and reliably reflects the financial position of the hospital), and ensure completion of Monthly Operating Review (MOR) reports.
• Reconciliations: Ensure all balance sheet reconciliations are completed and/or reviewed within Division‑mandated deadlines.
• Budget: Oversee development and completion of the annual budget.
• Medicare Cost Report: Oversee the preparation of the annual Medicare Cost Report workpapers, working with Corporate Reimbursement personnel to ensure timely completion.
• Tax Workpapers: Oversee the completion of the annual tax workpaper package.
• VHI: Oversee the completion of the annual Virginia Health Information (VHI) filing.
• Accounting Guidance: Maintain a thorough understanding of HCA Accounting Policy Guides (APG’s) as well as any external financial pronouncements relevant to hospital accounting.
• Sarbanes‑Oxley (SOX): Ensure compliance with all HCA SOX Key Controls, completion of the quarterly SOX Key Controls Checklist, and stay abreast of any changes required by Corporate.
• Internal Controls: Assist in completing the semi‑annual internal controls checklist, and ensure the hospital has sound internal controls in place and that policies and systems are established and continually updated as required by Corporate or as evident in observed surroundings.
• Fixed Assets: Maintain accurate fixed asset records, ensuring that capital equipment is properly recorded in the FAS system in accordance with APG and SOX requirements.
• Financial Support: Provide assistance to department leaders in analyzing financial data and reports (e.g., DOR’s) and in resolving issues such as outstanding invoices and missing departmental statistics. Additionally, prepare various daily, weekly, monthly, and ad‑hoc reports.
• Subsidiary Financials: Ensure all journal entries and balance sheet reconciliations are completed and that the general ledger is properly maintained for all subsidiary entities.

Education and Experience

• Bachelor’s degree in Accounting, Finance, or related required.
• MBA, MAcc, or MHA preferred.
• CPA preferred.

Qualifications

• Three years accounting experience required, hospital accounting preferred.
• One to two years of experience supervising accounting staff preferred.

Benefits

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long‑and short‑term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

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.