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Lead Accountant at Sandstone Care. Location Information: United States. Family-centered mental health and addiction treatment provider with a full continuum of care for teens & young adults.. 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.. Bachelor’s degree in Accounting or Finance.. CPA track or certification required.. 5+ years of accounting experience including technical accounting and systems exposure, preferably in a public accounting/private equity-backed or healthcare environment.. Strong understanding of ASC 606 and internal controls.. Experience with ERP systems (e.g. Sage Intact a plus) and automation tools.. Proficiency in Excel and financial reporting tools; experience with system integrations a plus.. Excellent analytical, communication, and project management skills.. Candidates applying must pass a comprehensive background check, including criminal records and motor vehicle reports.. Pay range:. $105K - $115K. A competitive compensation and total rewards package including merit-based increases and growth opportunities. A 401k program with 5% company match and a competitive vesting schedule. A generous PTO package designed to support work/life harmony. High-quality medical, dental, and vision insurance with majority company-paid premiums. A robust Employee Assistance Program including counseling, legal consultations, financial planning, and wellness coaching. A collaborative, mission-driven team environment