Senior Accountant — GAAP, Close & Audit Support

Hospital for Special Surgery; New York (NY); On-site; USD 74,000 - 112,000; Full time

Job summary

Hospital for Special Surgery is seeking a Senior Accountant to perform advanced accounting functions and ensure GAAP compliance for the hospital’s financial operations.

The role focuses on the monthly close, balance sheet reconciliations, audit support, and internal controls within a nonprofit healthcare environment. Strong Excel and ERP skills are required, with attention to detail and analytical abilities.

Qualifications

• Bachelor’s degree in accounting, finance, or related field required.
• 3–5 years of progressive accounting experience.
• Prior experience in healthcare, nonprofit, or hospital environment strongly preferred.
• Experience with financial close, audits, and account reconciliations required.

Responsibilities

• Prepare and review monthly journal entries, accruals, and adjustments.
• Lead assigned components of the monthly, quarterly, and year-end close processes.
• Ensure timely and accurate preparation of financial statements and supporting schedules.
• Analyze variances and provide explanations to management.
• Prepare and review balance sheet account reconciliations, ensuring completeness and accuracy.
• Investigate and resolve reconciling items in a timely manner.
• Maintain reconciliation documentation in accordance with organizational policies and audit standards.
• Maintain and monitor general ledger activity for assigned areas (e.g., revenue, expenses, fixed assets, payroll).
• Ensure proper classification of transactions in compliance with GAAP and organizational policies.
• Support external and internal audit processes, including preparation of audit schedules and documentation.
• Ensure compliance with nonprofit accounting standards (ASC 958) and applicable healthcare regulations.
• Assist in the preparation of audited financial statements and footnote disclosures.
• Adhere to and support internal control frameworks to ensure accuracy and safeguard assets.
• Identify control gaps and recommend process improvements.
• Assist in documentation and testing of key controls.
• Participate in system implementations, process improvement initiatives, and cross-functional projects.
• Assist with ad hoc reporting requests from leadership.

Skills

Advanced Excel

GAAP knowledge

Detail-oriented

Analytical skills

Education

Bachelor’s degree in Accounting

Tools

Workday

Job description

Hospital for Special Surgery is seeking a Senior Accountant to perform advanced accounting functions and ensure GAAP compliance for the hospital’s financial operations.

The role focuses on the monthly close, balance sheet reconciliations, audit support, and internal controls within a nonprofit healthcare environment. Strong Excel and ERP skills are required, with attention to detail and analytical abilities.