Description

The Controller is responsible for overseeing all accounting, financial reporting, budgeting, internal controls, and compliance functions for a large orthopedic practice. This role ensures accurate financial operations across professional services and ancillary entities while supporting strategic decision-making, physician compensation models, and operational efficiency. Reporting to the CEO, the Controller works closely with executive leadership, physicians, and department heads to maintain financial integrity and support growth. 

Core Responsibilities

Financial Management & Reporting

Oversee all general ledger activities, month-end and year-end close processes
Ensure timely and accurate financial reporting for the practice and all related entities (Imaging, PT, DME, etc.)
Maintain a clean and consistent chart of accounts
Partner with Revenue Cycle Management (RCM) leadership to ensure accurate posting, reconciliation, and reporting of revenue

Physician Compensation & Productivity

Ensure accurate calculation of physician compensation based on approved methodologies and validated financial data
Prepare detailed physician financial reports

Accounting Operations Leadership

Lead and develop the accounting team 
Standardize processes and enforce close checklists and reconciliation protocols
Reduce manual processes through automation and system improvements

Cash & Balance Sheet Integrity

Ensure daily cash activity is reconciled and accurate
Maintain balance sheet schedules and reconciliations
Identify cash timing issues and anomalies
Partner with leadership on cash visibility

Systems & Process Improvement

Lead accounting-side implementation of automation tools (AP, close management, reconciliations)
Improve data integrity between EMR, billing, payroll, and GL systems
Reduce reliance on spreadsheets through system-based controls

Compliance, Audit & Regulatory

Ensure compliance with healthcare regulatory requirements
Coordinate annual audits, tax filings, and cost reports with external auditors and advisors
Support compliance with Medicare/Medicaid regulations and state healthcare financial requirements

Leadership & Team Management

Collaborate cross-functionally with operations, HR, IT, and clinical leadership

We are a progressive, friendly private physician group practice with multiple locations on the sunny east coast of South Florida. We offer competitive compensation, as well as a comprehensive benefit package including medical, dental, vision, 401K with match, and more!  

Requirements

Qualifications & Experience

• Bachelor’s degree in Accounting or Finance or related field 
• CPA preferred
• > 7 years progressive accounting/finance experience
• Prior Controller or Senior Accounting Manager experience
• Experience leading month-end close in a multi-entity healthcare environment preferred
• Experience with physician compensation models and productivity reporting
• Proficiency with accounting systems and healthcare practice management software
• Advanced Excel and financial modeling skills
• Proven ability to clean up, standardize, and automate accounting processes
• This role is based on-site at our Stuart, Florida location.