For 30 years, Surgical Information Systems (SIS) has empowered surgical providers to Operate Smart™ by delivering innovative software and services that drive clinical, financial, and operational success. For ambulatory surgery centers (ASCs), SIS provides comprehensive software and services, including ASC management, electronic health records (EHRs), patient engagement capabilities, compliance technology, and revenue cycle management and transcription services, all built specifically for ASCs. For hospital perioperative teams, SIS offers an easy-to-use anesthesia information management system (AIMS). Serving over 2,900 surgical facilities, SIS is committed to delivering solutions that enable surgical providers to focus on what matters most: delivering exceptional patient care and outcomes. Recognized as the No. 1 ASC EHR vendor by Black Book for 11 consecutive years and honored with the Best in KLAS Award for ASC Solutions in 2026, 2025, 2023, and 2022, SIS remains the trusted choice for surgical providers seeking to enhance their performance. Discover how SIS can help you Operate Smart™ at sisfirst.com. The Senior Accountant is responsible for a broad range of accounting activities, including third-party reporting, cash reporting, commissions, cost of sales, international subsidiary accounting, state and local tax reporting, lease accounting, month-end close, preparation of monthly and annual audited financial statements, and other balance sheet and P&L responsibilities. This role supports a Healthcare IT SaaS business environment, with an emphasis on accurate accounting for recurring revenue, ARR-related reporting, customer contracts, subscription arrangements, deferred revenue, contract assets and liabilities, and revenue recognition considerations in accordance with GAAP and ASC 606. In addition, the Senior Accountant prepares journal entries, assists Accounts Payable with invoice coding, performs actual versus forecast analysis, and partners with department managers to understand and document variance explanations. The Senior Accountant will also support ad hoc projects, management reporting and analysis, process improvement initiatives, and other duties as required.

ESSENTIAL DUTIES/ RESPONSIBILITIES

Manage and reconcile multiple balance sheet accounts Support accounting and reporting for recurring revenue streams, including ARR, subscription revenue, deferred revenue, contract assets, contract liabilities, renewals, amendments, and other SaaS-related contract activity Review customer contracts, billing terms, implementation fees, professional services, renewals, and modifications to support appropriate revenue recognition and related accounting conclusions Partner with Sales, Legal, Operations, Client Success, FP&A, and Accounting leadership to understand contract terms, revenue implications, and reporting needs within a Healthcare IT SaaS environment Manage 3 rd party accounting and reporting State & Local tax reporting Manage accounting for international subsidiaries Maintain data on company leases and implement the new accounting standard Work with Accounting team & other dept personnel on month & quarter-end close Prepare monthly account reconciliations and analysis as required Work with external auditors on year-end audit Assist in the preparation of Consolidated GAAP financial statements and related notes Maintain good organization of accounting files and data Prepare, examine, or analyze accounting records, spreadsheets, financial statements, or other financial reports to assess accuracy, completeness, and conformance to GAAP and procedural standards Work with accounting management to maintain key accounting policies & procedures Preparing and analyzing ad hoc reports in NetSuite ERP system and Excel, as required Become expert NetSuite user while also assisting with implementation of new NetSuite product modules as required Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time

EDUCATION & CERTIFICATION DESIRED

Bachelor's degree or higher in Accounting CPA, or CPA track, highly desirable

SPECIFIC KNOWLEDGE & SKILLS REQUIRED

Preference given to candidates with financial statement audit experience from a regional or mid-tier public accounting firm. Solid understanding of basic accounting principles & related duties (standard financial statements, accounts payable, accounts receivable, expense reports, accrual accounting, matching principle, etc.) Working knowledge of SaaS accounting concepts, including ARR, subscription revenue, deferred revenue, revenue recognition, billing schedules, contract modifications, and accounting for multi-element customer arrangements Experience in Healthcare IT, SaaS, revenue cycle management, or another subscription-based technology environment is strongly preferred Work experience with preparation of Financial Statements in accordance with GAAP. High attention to detail and the ability to think critically to understand how the details contribute to the big picture for reconciliations, statistical analysis, and project work. Knowledge of Microsoft Office Suite including Word, Excel (Especially demonstrated advanced Excel abilities) , PowerPoint, Access, and Outlook. Strong understanding of computer systems with an ability to become a systems expert regarding the accounting systems utilized. Skill in time management, maximizes efficiency, and sustains a high sense of urgency. Ability to communicate effectively, both written and verbal, to all levels of the organization. Ability to maintain confidential information. Ability to work well with others including senior management and team members. NetSuite experience is a strong plus.

Benefit package including:

Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance Vacation/Sick time 401(k) retirement plan with company match Paid Holidays SIS Cares Day We believe employees are our greatest asset and we empower them to make a difference in our business. Diversity and inclusion makes us all better. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, age, disability, protected veteran status, and all other protected statuses. Surgical Information Systems is an Equal Opportunity Employer and complies with applicable employment laws.

M/F/D/V/SO

are encouraged to apply. At this time we are unable to sponsor H1B candidates