Senior Accountant

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Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success.

If this describes you then let’s talk!

HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment.

Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise.

Emp Status

Regular Full time

Work Shift

Day (United States of America)

Compensation Range

The base pay scale for this position is $73,500.00 - $112,250.00. 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.

Non-Discrimination Policy
Hospital for Special Surgery is committed to providing high quality care and skilled, compassionate, reliable service to our community in a safe and healing environment. Consistent with this commitment, Hospital for Special Surgery provides care, admits, and treats patients and provides all services without regard to age, race, color, creed, ethnicity, religion, national origin, culture, language, physical or mental disability, socioeconomic status, veteran or military status, marital status, sex, sexual orientation, gender identity or expression, or any other basis prohibited by federal, state, or local law or by accreditation standards.