Certified Public Accountant

Certified Public Accountant Rao Clinic Cary, NC Job Details Full-time $45,000 - $90,000 a year 18 hours ago Benefits Health savings account Health insurance Dental insurance 401(k) Vision insurance 401(k) matching Life insurance Retirement plan Qualifications Financial close processing Operational analysis Internal controls Confidential information handling CPA Payroll tax processing Accounts receivable management Bachelor's degree GAAP QuickBooks Accounting and finance experience Closing the books Regulatory compliance analysis Full Job Description About Rao Clinic Rao Clinic is a growing, multi-specialty healthcare organization operating across several service lines — including Vascular Surgery, Wound Care with Hyperbaric Oxygen, Primary Care, Podiatry, Pain Management, Durable Medical Equipment (DME), Physical Therapy, and an Ambulatory Surgery Center — across multiple locations. As we scale, we are building the financial infrastructure to match. This is a high-impact, high-trust role for a CPA who wants genuine ownership of the accounting function and a seat at the table on the decisions that shape the organization's future. Position Summary The CPA owns the day-to-day accounting operation and builds the controls, reporting, and financial discipline a multi-entity, multi-location healthcare organization needs to grow safely. This is a hands-on role — you'll do the books — but it carries controller-level responsibility: you'll design the internal controls, produce the financial reporting that informs strategy, and partner directly with the COO and ownership on cash flow, budgeting, and capital decisions. We're looking for someone who thinks like an operator, not just a scorekeeper. Key ResponsibilitiesGeneral Accounting & Bookkeeping Own the full-cycle general ledger, journal entries, reconciliations, and month-end and year-end close across all entities and locations. Maintain accurate, timely books in accordance with GAAP and produce consolidated and by-entity financial statements. Manage the chart of accounts and ensure consistent coding across service lines and locations. Accounts Receivable Oversee AR, in coordination with the billing/revenue-cycle team, and reconcile payments, contractual adjustments, and write-offs. Reconcile patient and payer collections (Medicare, Medicaid, commercial, workers' comp) to deposits, and monitor days in AR and aging. Reconcile front-desk and point-of-service collections across all locations. Accounts Payable Manage the full AP cycle: vendor setup, invoice approval workflows, payment runs, and vendor reconciliations. Enforce purchase-approval and authorization controls and maintain clean vendor records and 1099 tracking. Payroll Process and reconcile multi-location payroll for W-2 staff and payments to 1099 contracted providers. Ensure accurate payroll tax filings, benefit deductions, PTO accruals, and compliance with federal and North Carolina wage-and-hour requirements. Inventory & Fixed-Asset Control Establish and maintain inventory controls for DME, medical/surgical supplies, and clinical consumables — par levels, reconciliations, and shrinkage monitoring. Maintain the fixed-asset register and depreciation schedules for medical and capital equipment across locations. Internal Controls, Policies & Protocols Design, document, and implement accounting policies, internal controls, and standard operating procedures — including segregation of duties, approval matrices, and cash-handling controls — appropriate to a growing multi-location organization. Proactively identify financial risk and build safeguards against error and fraud as the organization scales. Financial Reporting & Analysis Deliver timely monthly financial packages: consolidated and by-entity statements, profit-and-loss by service line and by location , and variance analysis against budget. Build and maintain cash-flow forecasting and KPI dashboards that give leadership a clear, current view of financial health. Support budgeting, forecasting, and financial modeling for operational and capital decisions (e.g., new locations, equipment acquisitions, service-line expansion, leases). Compliance, Tax & Audit Coordinate with external tax advisors on entity tax returns, sales/use tax, payroll tax, and year-end 1099 filings. Maintain audit-ready records and lead preparation for any financial or regulatory audit. Support documentation of fair-market-value and commercially reasonable terms for financial arrangements consistent with healthcare regulatory requirements (e.g., Stark/Anti-Kickback considerations), in coordination with counsel. Systems & Process Improvement Optimize and, where appropriate, help select and implement accounting, payroll, and reporting systems that scale with the organization. Continuously improve close timelines, reporting accuracy, and process efficiency. Cross-Functional Partnership Serve as a trusted financial partner to the COO and ownership, translating the numbers into actionable insight. Collaborate with billing, clinical operations, and site managers to align financial processes across the organization. Required Qualifications Active CPA license (North Carolina, or eligible to obtain NC licensure). Bachelor's degree in Accounting, Finance, or related field. 5+ years of progressive accounting experience, including full-cycle general ledger ownership and month-end close. Demonstrated experience designing and implementing internal controls and accounting policies. Hands-on experience across AR, AP, payroll, and financial reporting. Proficiency with accounting software (e.g., QuickBooks, Sage, NetSuite) and strong Excel skills. Strong command of GAAP, payroll tax, and general business compliance. High integrity, sound judgment, and the discretion required to handle sensitive financial and personnel information. Preferred Qualifications Experience in healthcare, a medical practice, or an ambulatory surgery center , including familiarity with the revenue cycle and payer reimbursement. Multi-entity and multi-location accounting experience. Familiarity with medical/DME inventory control and fixed-asset management. Experience scaling accounting operations in a growing organization. Exposure to healthcare financial-compliance considerations (Stark/Anti-Kickback, cost reporting). Core Competencies Ownership mindset — treats the organization's resources as if they were their own. Operator's perspective — connects the numbers to operational and strategic decisions. Controls discipline — instinctively builds structure, documentation, and safeguards. Clear communicator — translates financial detail into plain-language insight for leadership. Integrity and discretion — trustworthy with confidential financial and personnel matters. What Success Looks Like First 90 days: clean, timely monthly close; a documented understanding of current accounting processes; and an initial assessment of control gaps and quick wins. First 6 months: standardized policies and internal controls in place; reliable monthly financial packages with service-line and location-level reporting.

First year:

dependable cash-flow forecasting and KPI dashboards; audit-ready books; and a scalable accounting operation that supports continued growth.

Pay:

$45,000.00 - $90,000.00 per year

Benefits:

401(k) 401(k) matching Dental insurance Health insurance Health savings account Life insurance Retirement plan Vision insurance

Work Location:

In person