Senior Revenue Accountant - SaaS/MedTech, Remote

AcuityMD, Inc.; Oregon; Hybrid; USD 100,000 - 130,000; Full time

Benefits offered by this job

Ground floor opportunity

Learning budget

Remote work stipend

Flexible PTO

Health, dental, vision plans paid by 1

Home office stipend

Team retreats

Parental leave

Job summary

AcuityMD is seeking a Senior Revenue Accountant to own day-to-day revenue accounting as the company scales. You will ensure accurate ASC 606 revenue recognition across subscription, usage-based, and professional services contracts and partner with Sales, RevOps, Legal, and Finance to understand complex deals before close.

You will help build controls and processes to stay audit-ready, support a robust close, and drive improvements across revenue-related processes.

Qualifications

• Bachelor's degree in Accounting or Finance; CPA or CPA-eligible preferred.
• 4-6 years of revenue accounting experience in public accounting and/or a high-growth SaaS company.
• Hands-on ASC 606 experience with multi-element and usage-based contracts.
• Experience owning a revenue close, including deferred revenue roll-forwards and reconciliations.
• Comfort with cloud ERP and billing systems (Rillet experience a plus) and strong Excel or Google Sheets skills.
• Clear communicator who can explain GAAP to Sales, Legal, and executive stakeholders.
• Detail-oriented and proactive, with a bias toward improving the process, not only running it.

Responsibilities

• Revenue recognition: Apply ASC 606 to new and amended contracts, including performance obligations, standalone selling price allocation, contract modifications, and variable consideration for usage-based fees.
• Month-end and quarter-end close: Prepare revenue entries, deferred revenue schedules, and contract-level reconciliations on a predictable close calendar.
• Systems and data integrity: Maintain the sub-ledger flow between HubSpot and Rillet, reconcile contract data to revenue schedules, and flag gaps before they reach the close.
• Contract review and deal support: Review non-standard terms such as discounts, free or bundled services, and renewals and upsells, and give Sales and Deal Desk fast, clear guidance on revenue treatment.
• Commissions accounting: Support capitalized contract cost accounting under ASC 340-40, including amortization schedules and period-end true-ups.
• Audit readiness: Build and maintain support for revenue and deferred revenue balances, draft technical memos, and respond to auditor requests.
• Process improvement: Document procedures, tighten controls, and automate manual steps so the function scales without adding headcount at the same pace.
• Cross-functional partnership: Explain revenue implications in plain language to non-finance teams and help reduce close-time fire drills.

Skills

ASC 606 experience

Revenue close

Excel / Google Sheets

Cross-functional comms

Education

Bachelor's degree in Accounting or Finance

CPA or CPA-eligible preferred

Tools

HubSpot

Rillet

Job description

AcuityMD is seeking a Senior Revenue Accountant to own day-to-day revenue accounting as the company scales. You will ensure accurate ASC 606 revenue recognition across subscription, usage-based, and professional services contracts and partner with Sales, RevOps, Legal, and Finance to understand complex deals before close.

You will help build controls and processes to stay audit-ready, support a robust close, and drive improvements across revenue-related processes.