Lead Accountant

Lead Accountant

The Lead Accountant plays a key role in managing complex accounting processes, ensuring compliance with U.S. GAAP (including ASC 606 and ASC 842), and supporting system integrations that impact financial reporting. This role is ideal for a CPA-track professional who thrives in a dynamic environment and enjoys bridging accounting policy with operational systems. The Lead Accountant will lead initiatives to improve automation, accuracy, and internal controls.

Key responsibilities include :

• Assist in the design and implementation of efficient data flow processes between the EHR, RCM, and Financial Reporting System to ensure accurate and timely financial reporting.
• Identify opportunities for electronic data feeds and automation to reduce manual entry and improve data integrity.
• Collaborate with internal resources and third-parties to develop scalable integration solutions for invoice, cash receipts, and adjustment journal entries.
• Review contracts and system configurations to ensure proper accounting treatment under ASC 606.
• Develop and implement best practice revenue recognition procedures that accurately reflect gross charges, contractual allowances, patient payments, bad debt, and revenue reserves.
• Establish and maintain a formal Revenue Recognition Policy in accordance with ASC 606.
• Perform recurring reserve analyses and ensure appropriate documentation for audit and compliance purposes.
• Reconcile revenue from RCM systems to financial statements, ensuring completeness and accuracy of net revenue reporting.
• Collaborate with Payor Contracting, FP&A, and Operations to assess financial impact of new agreements and system changes.
• Standardize manual entry processes and controls to ensure consistency and reduce errors.
• Document and maintain standard operating procedures (SOPs) for financial processes, including revenue recognition, lease accounting, system integrations, and reconciliations.
• Support external audits by preparing documentation and responding to auditor inquiries.
• Assist in drafting and maintaining accounting policies and procedures.

Qualifications include :

Compliance requirements include :

The perks include :

What to expect : Our interview process

Expected Interview Timeline : The entire process typically takes 23 weeks.

Sandstone Care's Commitment to Diversity, Equity, & Inclusion

At Sandstone Care, we are committed to fostering a culture of diversity, equity, and inclusion that not only enriches the lives of our employees but also ensures the wellbeing and care of our clients. We believe embracing diverse backgrounds and perspectives is essential to providing the highest-quality behavioral health services.

We are an equal opportunity employer and prohibit discrimination and harassment of any kind. All employment decisions are based on qualifications, merit, and business needs.