Cost Accountant (Full-Time)

About the position

Join a dedicated team at Uvalde Memorial Hospital, where your expertise in financial analysis and cost accounting can make a lasting impact on patient care and operational excellence. As a Cost Accountant, you will play a vital role in managing budgeting processes, analyzing financial performance, and supporting key decision-making strategies. This position offers a dynamic work environment that combines analytical work with collaboration across departments. If you're looking to apply your accounting skills in a meaningful, mission-driven healthcare setting, this is your opportunity to grow with an organization that values integrity, precision, and community service.

Responsibilities

• Performs cost analysis and develops recommendations based on past and present financial performances.
• Assists Charge Master coordinator with updates to ensure appropriate cost to charge ratios.
• Administers and maintains the accounting system to support internal decision-making and reporting.
• Assists in preparation of monthly, quarterly, and annual financial reports.
• Ensures compliance with Generally Accepted Accounting Principles (GAAP), GASB and healthcare industry standards.
• Generates financial reports for internal stakeholders, including management and senior leadership.
• Provides monthly profit and loss reports for leadership. Conducts internal audits and researches variances.
• Updates allowance worksheet, moving ratios, and revenue statistics monthly.
• Assists in preparation, coordination, and implementation of the hospital's annual operating and capital budgets.
• Collaborates with department managers to gather budgetary data, review historical trends, and forecast future needs.
• Maintains and updates budget modules and tools, ensuring accuracy and integrity.
• Evaluates contracts to determine applicability and classification under GASB 87 and GASB 96 standards.
• Records and reconciles right-to-use assets and lease liabilities in accordance with GASB requirements.
• Tracks and accounts for lease modifications, renewals, terminations, and impairments, ensuring timely updates to the general ledger.
• Manages cost accounting functions in compliance with facility policies and procedures.
• Provides support during external audits and with the Medicare Cost Report.
• Assists with internal audits, fact checks and resolving discrepancies.
• Assists Controller and Accounting Supervisor with various accounting policies and procedures.
• Serves as a financial resource for internal departments by providing timely, accurate, and understandable cost and financial data.
• Responds promptly to budget or cost analysis requests from department managers, clinical leadership, and administration.
• Educates non-finance staff on cost accounting principles and financial data interpretation in a clear, professional manner.

Requirements

• Bachelor's degree in Business, Accounting, Finance, or related field required.
• Minimum of 1-3 years of accounting experience, preferably in a healthcare or hospital setting.
• Proficiency in accounting software and Microsoft Office Suite, especially Excel.
• Excellent analytical, organizational, and problem-solving skills.
• Strong attention to detail and accuracy.
• Effective communication and interpersonal skills.
• Ability to work independently and as part of a team.