Hospital for Special Surgery

Senior Accountant

Hospital for Special Surgery$72K — $109K *
Legal & Accounting
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Accounting, Finance, or related field required.
  • 3-5 years of progressive accounting experience.
  • Preferred experience in healthcare, nonprofit, or hospital environments.
  • Required experience with financial close, audits, and account reconciliations.
  • Strong knowledge of U.S. GAAP and nonprofit accounting principles (ASC 958).
  • Proficient in ERP systems, such as Workday or similar; advanced Microsoft Excel skills mandatory.

Responsibilities

  • Prepare and review monthly journal entries and adjustments.
  • Lead components of the monthly, quarterly, and year-end close processes.
  • Ensure timely preparation of financial statements and supporting schedules.
  • Prepare and review balance sheet account reconciliations.
  • Investigate reconciling items and maintain compliance with organizational policies.
  • Support external and internal audit processes with accurate documentation.
  • Adhere to internal controls and recommend process improvements.
  • Participate in system implementations and assist with management reporting.

Benefits

  • Regular full-time employment status.
  • Day shift schedule.
  • Opportunity to work in a nonprofit healthcare environment.
  • Participation in special projects and system implementations.
  • Engagement with cross-functional teams for process improvements.
Full Job Description
Emp Status
Regular Full time

Work Shift
Day (United States of America)

Compensation Range
The base pay scale for this position is $72,000.00 - $109,500.00. In addition, this position will be eligible for additional benefits consistent with the role. The salary of the finalist selected for this role will be determined based on various factors, including but not limited to: scope of role, level of experience, education, accomplishments, internal equity, budget, and subject to Fair Market Value evaluation. The hiring range listed is a good faith determination of potential compensation at the time of this job advertisement and may be modified in the future.

What you will be doing
The Senior Accountant is responsible for performing and overseeing advanced accounting functions in support of the hospital's financial operations. This role ensures the integrity and accuracy of financial reporting in accordance with U.S. GAAP, nonprofit accounting standards (ASC 958), and healthcare regulatory requirements. The Senior Accountant plays a key role in the monthly close process, account reconciliations, audit support, and internal control compliance.

Key Responsibilities
Financial Reporting & Close Process
  • 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.
Account Reconciliations
  • 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.
General Ledger Management
  • 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.
Audit & Compliance
  • 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.
Internal Controls
  • 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.
Special Projects
  • Participate in system implementations, process improvement initiatives, and cross-functional projects.
  • Assist with ad hoc reporting requests from leadership.


Qualifications
Education
  • Bachelor's degree in Accounting, Finance, or related field required.
Experience
  • Minimum of 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.


Knowledge, Skills, and Abilities
  • Strong knowledge of U.S. GAAP, including nonprofit accounting (ASC 958).
  • Understanding of healthcare financial operations, including patient revenue cycles (preferred).
  • Proficient in ERP systems (e.g., Workday, or similar).
  • Advanced Microsoft Excel skills (e.g., pivot tables, VLOOKUP/XLOOKUP).
  • Strong analytical, problem-solving, and organizational skills.
  • High attention to detail and commitment to accuracy.
  • Ability to manage multiple priorities and meet tight deadlines.
  • Strong written and verbal communication skills.

About Hospital for Special Surgery

Hospital for Special Surgery (HSS) is a hospital in New York City that specializes in orthopedic surgery and the treatment of rheumatologic conditions. Founded in 1863 by James Knight, HSS is the oldest orthopedic hospital in the United States. The hospital has been ranked the top orthopedic hospital in the United States by U.S. News & World Report for 11 consecutive years. HSS has a staff of over 4000 employees, including more than 200 physicians and surgeons, and treats over 32,000 inpatients and 300,000 outpatients annually.
Learn more about Hospital for Special Surgery
Size
4,000 employees
Industry
Founded
1863

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