Healthcare Controller

Cedar County Memorial Hospital•El Dorado Springs, MO
•Hybrid

About The Position

Cedar County Memorial Hospital (CCMH) is seeking a detail-oriented and experienced Healthcare Controller to oversee and strengthen the financial operations of its rural healthcare organization. The role manages general accounting functions, ensures regulatory compliance, and supports strategic financial planning. The ideal candidate has a strong healthcare finance background, preferably in a Critical Access Hospital, and values accuracy, collaboration, and operational efficiency. The posting describes the position as an in-office role with some remote flexibility and also as a hybrid work model, with on-site presence required each week. The Controller maintains and reconciles general ledger accounts, prepares monthly statements, coordinates with the accounts payable/payroll specialist, and ensures accurate and timely journal entries and reconciliations. The role also supports financial analysis, reporting, budgeting and forecasting, annual audit and cost report workpapers, internal controls, and compliance with accounting and healthcare regulations. The Controller works with senior management, external stakeholders, auditors, and clinical and administrative departments, and participates in cross-functional efforts to improve financial performance. Employment is contingent on successful completion of applicable pre-employment background checks and drug screening, in accordance with applicable law and hospital policies.

Requirements

  • Bachelor's degree in accounting, finance, or a related field.
  • Minimum of 3 years of healthcare accounting experience, preferably in a Critical Access Hospital.
  • Excellent analytical, organizational, and communication skills.
  • Ability to manage multiple priorities in a fast-paced environment.

Nice To Haves

  • Experience with Medicare/Medicaid cost reporting.
  • Familiarity with HIPAA and healthcare compliance standards.
  • Knowledge of Meditech accounting software.

Responsibilities

  • Maintain and reconcile general ledger accounts.
  • Prepare monthly statements.
  • Coordinate with the accounts payable/payroll specialist.
  • Ensure timely and accurate journal entries and account reconciliations.
  • Develop and monitor internal controls to safeguard assets.
  • Analyze financial data to identify trends, variances, and opportunities for improvement.
  • Assist in budgeting and forecasting processes.
  • Assist with annual financial audit and cost report workpaper preparation.
  • Prepare reports for senior management and external stakeholders.
  • Ensure compliance with GAAP, federal and state regulations, and healthcare-specific financial standards.
  • Coordinate and support internal and external audits.
  • Maintain documentation for audit and regulatory purposes.
  • Collaborate with clinical and administrative departments to support financial decision-making.
  • Participate in cross-functional initiatives to improve financial performance.
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