Controller

We are seeking an experienced and detail-oriented Controller to lead all accounting, payroll, and banking functions for the practice. This hands-on operational role needs a finance professional who takes genuine satisfaction in doing the work — maintaining accuracy, ensuring compliance, and running a clean, efficient accounting operation. We are looking for a skilled accounting leader who takes pride in technical excellence, values stability, and finds deep professional satisfaction in owning the numbers without responsibility for financial strategy. Our stable, predictable environment has no health system bureaucracy, no heavy travel, and no 24/7 demands. Standard business hours, a supportive culture, low turnover, and tenured staff make this an exceptional opportunity for a professional who values quality of work-life. The right candidate will also be an effective communicator — able to translate financial data into clear, direct answers when the CEO or physician owners ask pointed questions. While not a strategic role per se, it does require the ability to explain the numbers confidently and succinctly to a sophisticated, results oriented audience.

Job Responsibilities:

General Accounting & Financial Reporting Own the full general ledger, month-end and year-end close processes Prepare and distribute accurate financial statements and management reports on a timely basis Maintain the chart of accounts and ensure consistent, compliant accounting practices Coordinate with external auditors, tax preparers, and local tax authorities; provide all supporting documentation Ensure compliance with applicable healthcare accounting standards and bank covenants Payroll & Retirement Pan Manage all payroll processing for approximately 200 employees across applicable pay structures Administer physician compensation calculations in accordance with the practice's established compensation formula Ensure accurate and timely payroll tax deposits, filings, and year-end reporting (W-2s, 1099s) Maintain payroll records and coordinate with HR on benefit deductions, garnishments, and changes Serve on the retirement plan committee and work with external advisors to manage and oversee Practice's employer sponsored retirement plan Banking & Cash Management Manage daily banking operations including deposits, disbursements, and account reconciliations Monitor cash flow and maintain adequate operating balances Manage relationships with banking institutions for routine operational matters Accounts Payable & Vendor Relations Supervise timely and accurate processing of all vendor invoices and payments Maintain vendor records and ensure proper 1099 documentation Support CEO as additional liaison for insurance brokers (health, malpractice, and property & casualty) Internal Controls & Compliance Maintain and enforce internal controls appropriate for a physician-owned medical practice Ensure compliance with applicable state and federal financial reporting requirements Safeguard practice assets and ensure accurate record retention Team Leadership Directly supervise and develop 2 accounting staff members Assign and review work product, provide ongoing feedback, and support professional growth within the accounting function Professional Engagement Attend OrthoForum meetings and participate in the OrthoForum Finance Group Listserv as a representative of the practice Why Join Our Practice Stable, established independent physician-owned practice with decades of clinical excellence and strong financial performance Collaborative, physician-led leadership team that values operational excellence Competitive base salary plus performance-based bonus Comprehensive benefits package including health, dental, and vision coverage; 401(k) and CME/professional development allowance Outstanding work-life balance: standard business hours, minimal after-hours demands, and a culture that values your expertise without burnout

Benefits:

401(k) AD&D insurance Cell phone reimbursement Dental insurance Disability insurance Employee discount Flexible spending account Health insurance Life insurance Paid time off Referral program Retirement plan Vision insurance

Work Location:

In person Controller 3.8 3.8 out of 5 stars Columbia, SC 29201 Full-time Midlands Orthopaedics and Neurosurgery 40 reviews Full-time We are seeking an experienced and detail-oriented Controller to lead all accounting, payroll, and banking functions for the practice. This hands-on operational role needs a finance professional who takes genuine satisfaction in doing the work — maintaining accuracy, ensuring compliance, and running a clean, efficient accounting operation. We are looking for a skilled accounting leader who takes pride in technical excellence, values stability, and finds deep professional satisfaction in owning the numbers without responsibility for financial strategy. Our stable, predictable environment has no health system bureaucracy, no heavy travel, and no 24/7 demands. Standard business hours, a supportive culture, low turnover, and tenured staff make this an exceptional opportunity for a professional who values quality of work-life. The right candidate will also be an effective communicator — able to translate financial data into clear, direct answers when the CEO or physician owners ask pointed questions. While not a strategic role per se, it does require the ability to explain the numbers confidently and succinctly to a sophisticated, results oriented audience.

Job Responsibilities:

General Accounting & Financial Reporting Own the full general ledger, month-end and year-end close processes Prepare and distribute accurate financial statements and management reports on a timely basis Maintain the chart of accounts and ensure consistent, compliant accounting practices Coordinate with external auditors, tax preparers, and local tax authorities; provide all supporting documentation Ensure compliance with applicable healthcare accounting standards and bank covenants Payroll & Retirement Pan Manage all payroll processing for approximately 200 employees across applicable pay structures Administer physician compensation calculations in accordance with the practice's established compensation formula Ensure accurate and timely payroll tax deposits, filings, and year-end reporting (W-2s, 1099s) Maintain payroll records and coordinate with HR on benefit deductions, garnishments, and changes Serve on the retirement plan committee and work with external advisors to manage and oversee Practice's employer sponsored retirement plan Banking & Cash Management Manage daily banking operations including deposits, disbursements, and account reconciliations Monitor cash flow and maintain adequate operating balances Manage relationships with banking institutions for routine operational matters Accounts Payable & Vendor Relations Supervise timely and accurate processing of all vendor invoices and payments Maintain vendor records and ensure proper 1099 documentation Support CEO as additional liaison for insurance brokers (health, malpractice, and property & casualty) Internal Controls & Compliance Maintain and enforce internal controls appropriate for a physician-owned medical practice Ensure compliance with applicable state and federal financial reporting requirements Safeguard practice assets and ensure accurate record retention Team Leadership Directly supervise and develop 2 accounting staff members Assign and review work product, provide ongoing feedback, and support professional growth within the accounting function Professional Engagement Attend OrthoForum meetings and participate in the OrthoForum Finance Group Listserv as a representative of the practice Why Join Our Practice Stable, established independent physician-owned practice with decades of clinical excellence and strong financial performance Collaborative, physician-led leadership team that values operational excellence Competitive base salary plus performance-based bonus Comprehensive benefits package including health, dental, and vision coverage; 401(k) and CME/professional development allowance Outstanding work-life balance: standard business hours, minimal after-hours demands, and a culture that values your expertise without burnout

Benefits:

401(k) AD&D insurance Cell phone reimbursement Dental insurance Disability insurance Employee discount Flexible spending account Health insurance Life insurance Paid time off Referral program Retirement plan Vision insurance

Work Location:

In person