Director of Accounting

Emergeortho, P.A•Durham, NC
•Hybrid

About The Position

EmergeOrtho is seeking a detail-oriented Director of Accounting to lead and oversee the organization’s accounting operations. The role is responsible for accurate and timely financial reporting, effective internal controls, and compliance with generally accepted accounting principles (GAAP). It oversees general ledger accounting, financial close, reconciliations, accounts payable, fixed assets, audit and tax support, and related accounting activities. The Director leads and develops the accounting team and partners with Finance and operational leadership to improve processes, support organizational growth, and maintain the integrity of financial information. The position is based in the Coastal, Triad, or Triangle region of North Carolina and offers a hybrid work arrangement. EmergeOrtho is a physician-owned orthopedic practice with 67 locations in 28 counties across North Carolina. The organization describes its work as providing comprehensive, quality-focused musculoskeletal care and emphasizes values including quality, innovation, compassion, community, education, integrity, teamwork, diversity, and inclusion.

Requirements

  • Bachelor’s degree in Accounting, Finance, Business Administration, or a related field.
  • Minimum of 7 years of progressively responsible accounting experience.
  • Strong knowledge of GAAP, financial reporting, general ledger accounting, internal controls, and month-end and year-end close.
  • Experience with accounting or ERP systems.
  • Advanced proficiency in Microsoft Excel.
  • Strong analytical, organizational, problem-solving, and communication skills.
  • Ability to manage multiple priorities and deadlines with a high degree of accuracy and confidentiality.

Nice To Haves

  • CPA, CMA, MBA, or related advanced credential.
  • Healthcare or multi-entity experience.
  • Prior leadership or supervisory experience.

Responsibilities

  • Direct and oversee daily accounting operations, including general ledger, account reconciliations, accounts payable, fixed assets, accruals, and related activities.
  • Lead monthly, quarterly, and annual close processes and ensure timely and accurate financial reporting.
  • Review financial statements, account reconciliations, journal entries, and financial activity for accuracy and completeness.
  • Develop, maintain, and strengthen accounting policies, procedures, and internal controls.
  • Ensure consistent application of GAAP and organizational accounting practices.
  • Coordinate annual audits, tax reporting, and other financial compliance activities with internal and external partners.
  • Analyze financial results and investigate significant or unusual variances.
  • Identify opportunities to improve, standardize, and automate accounting processes and systems.
  • Support accounting activities associated with new locations, entities, acquisitions, integrations, and organizational growth.
  • Lead, coach, and develop accounting team members while establishing clear expectations and accountability.
  • Collaborate with Finance, Operations, Revenue Cycle, Payroll, Human Resources, IT, and other departments to resolve accounting and financial matters.
  • Maintain confidentiality and comply with applicable organizational, financial, and regulatory requirements.

Benefits

  • 401(k) Retirement Plan
  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Flexible Spending Account
  • Health Savings Account
  • Paid Time Off
  • Holiday Pay
  • Employee Assistance Program
  • Life Insurance
  • Short Term Disability
  • Long Term Disability
  • Pet Insurance
  • Milestone Bonus Program
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