Comptroller

Job Description

Job Description

Comptroller Job Description

Position Title:

Comptroller

Department:

Finance / Administration

Reports To:

Chief Financial Officer (CFO)

Position Summary

The Comptroller oversees all financial operations, ensuring fiscal integrity, regulatory compliance, and financial planning in the hospital setting.

Key Responsibilities

• Financial Management & Reporting
• Budgeting & Forecasting
• Regulatory & Compliance Oversight
• Internal Controls & Risk Management
• Revenue Cycle Oversight
• Payroll & HR Coordination
• Leadership & Collaboration

Qualifications

• Bachelors in Accounting/Finance (required)
• Healthcare experience preferred

Key Performance Indicators

• Budget adherence
• Accounts receivable days
• Cash flow stability
• Audit outcomes
• Labor cost control

Financial Management & Reporting

• Oversee all accounting operations including general ledger, accounts payable/receivable, and payroll
• Prepare and analyze monthly, quarterly, and annual financial statements
• Ensure accurate and timely financial reporting to leadership and governing body
• Monitor cash flow and maintain financial stability

Budgeting & Forecasting

• Develop annual operating and capital budgets in collaboration with department leaders
• Monitor budget performance and provide variance analysis
• Assist leadership with financial forecasting and strategic planning

Regulatory & Compliance Oversight

• Ensure compliance with:
  • CMS (Centers for Medicare & Medicaid Services)
  • Joint Commission standards
  • State regulations (e.g., DMH, DHR)
• Maintain documentation for audits, surveys, and financial reviews
• Support cost reporting and reimbursement processes

Internal Controls & Risk Management

• Establish and maintain internal controls to safeguard assets
• Oversee audits (internal and external)
• Identify financial risks and implement mitigation strategies
• Ensure proper segregation of duties

Revenue Cycle Oversight

• Collaborate with billing and admissions to optimize reimbursement
• Monitor collections, denials, and payer trends
• Ensure accurate charge capture and coding coordination (with clinical teams)

Payroll & HR Financial Coordination

• Oversee payroll processes and ensure accuracy
• Collaborate with HR on compensation structures, benefits, and staffing costs
• Monitor overtime, agency usage, and labor expenses

Leadership & Collaboration

• Serve as a key advisor to executive leadership
• Present financial reports to leadership
• Work closely with clinical and administrative departments to align financial goals with patient care needs