Cost Accountant

Roanoke, VA, US, 24011

Job Summary

Be at your best with an organization that equips you to do so.  Whose people unite in making lives better. At Carilion Clinic, we help communities stay healthy and our region grow stronger through compassionate care, medical education and research, and neighborhood outreach. As part of our team you can expect professional stability, strong technological resources, and the advancement potential of a regional leader.

Based in Roanoke, VA, we are an award-winning, community-based network of hospitals, primary and specialty physician practices, and affiliations with prestigious academic medical institutions. Explore how joining a regional leader can enhance your ability to learn, grow, and succeed.

The Cost Accountant develops and maintains a cost accounting system by utilizing technical system skills, produces reports and completes analysis of data presenting and interpreting that data to users.
1. Maintains a costing accounting system including maintenance of master tables.  Develops system technical skills as required to administer the cost system.
2. Collects and maintains data to support procedure level cost including the RVUs necessary for cost calculations, and reconciles/verifies data uploads from other systems including GL, Payroll, SMS, etc. Designs edits and checks including verification and investigation of data to ensure data integrity and accuracy as deemed essential to the costing foundation. Through frequent and thoughtful interactions develops and maintains positive relationships with internal providers and clients, including clinicians.
3. Designs and implements ad hoc reports utilizing the cost data along with analysis and interpretation of the data and data trends.  Assists in the development of standardized reports.  Responds to user requests in a timely manner.  Seeks ways to improve process and products. 
4. Understands the cost structure as demonstrated through presentations and conversations with all levels of users.  Acquires an understanding of the cost algorithms necessary for the cost calculations.  Demonstrates knowledge of cost drivers.  Constantly seeking ways to refine cost data and promote system capabilities.
5. Works with department and service line managers to identify and understand significant variances in procedure costs.  Supports analysis on procedure costs.  Investigates cost variances and provides feedback to users along with suggested resolutions for cost issues.
6. Analyzes cost data by DRG, physician, payer, ICD9 or CPT codes, facilities or cost categories.   Communicates analysis both verbally and written with user-appropriate explanations.
7. Keeps appropriate cost team members and clients updated on cost issues for each respective site. Provides materials and gives presentations to various levels including staff, managers and senior management concerning cost data or reports along with appropriate education on the cost structure. Position supports and provides backup for other cost team members as deemed appropriate.
8. Constantly seeks ways to refine cost data and promote system capabilities.   Responsible for quality and process improvement in this department as well as others in relationship to data warehousing, charge capture, cost capture and allocation, etc.

Minimum Qualifications

Education: Bachelor’s degree preferably in Accounting, Finance, or Management Engineering or 8 years equivalent experience.

Experience: Proven analytical skills with financial statements and information/data management systems experience required. Healthcare or cost accounting experience preferred.

Licensure/Certifications/Registration: CPA designation or exam qualification preferred, but not required.

Other Minimum Qualifications: Excellent customer-service skills are essential, as is the ability to work independently or as a team member. Excellent communication skills are necessary to enhance data confidence. Expected to multi-task and prioritize work load to meet non-negotiable deadlines. Must be able to handle single-entity as well as multiple-entity and system-wide reporting, interpreting and deadlines. Required technical skills include downloading and uploading information into Trendstar. Programming development is required to build and maintain the cost process.

Our Values

Below are our core values that we strive to embody and expect of all our team members:

CommUNITY:  Working in unison to serve our community, our Carilion family and our loved ones.

Courage:  Doing what’s right for our patients without question.

Commitment:  Unwavering in our quest for exceptional quality and service.

Compassion:  Putting heart into everything we do.

Curiosity:  Fostering creativity and innovation in our pursuit of excellence.



Requisition Number: 30023 
Employment Status: Full time 
Location: CASB - Carilion Administrative Services Building 
Shift: Day 
Shift Details: M-F 8:00am-5:00pm
Recruiter: DAVID L NIVEN 
Recruiter Phone: 540-983-4057 
Recruiter Email:

This is Carilion Clinic ...

An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious.

Headquartered in Roanoke, Va., you will find a robust system of award winning
hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute.

Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.

Equal Opportunity Employer

Minorities/Females/Protected Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity

Carilion Clinic is a drug-free workplace.

Nearest Major Market: Roanoke

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