Senior Accountant – Medical Practice

Rockville Internal Medicine Group

Schedule: Monday–Friday, On-Site

Job Type: Full-time

Pay: $75,000 to $87,000/year

Rockville Internal Medicine Group (RIMG) is a well-established, multi-specialty medical practice with locations in Olney and Rockville, MD. We are seeking a motivated Certified Accountant (CPA) to serve as our sole in-house accounting professional. You will manage all bookkeeping, accounts payable, reconciliations, and financial reporting, working with an external accounting firm during tax season. This role requires expert QuickBooks skills, a strong grasp of the full accounting cycle, and the ability to work independently while ensuring compliance with all policies and regulations.

Key Responsibilities 

• Manage the full accounting cycle, including accounts payable, payroll, journal entries, reconciliations, and month/quarter/year-end closings.

• Oversee ledgers, financial statements, and reporting systems to ensure compliance with accounting standards and regulations.

• Develop and maintain budgets, forecasts, KPIs, and variance analyses to support strategic decision-making.

• Prepare and analyze financial reports and profitability analyses for leadership.

• Maintain organized documentation for all transactions and ensure proper internal controls are in place.

• Coordinate with external accountants for audits and tax filings.

• Identify opportunities for cost reduction and process improvement.

• Support HR in reviewing staff payroll and manage physician payroll.

• Perform other duties as assigned.

Professional Competencies: 

• Excellent organizational, problem-solving, and communication skills.

• Exceptional attention to detail with strong analytical and critical thinking abilities.

• Ability to manage multiple deadline-driven tasks while maintaining professionalism.

• In-depth knowledge of accounting principles and reporting standards.

• Ability to work independently with minimal supervision.

• Strong reporting and data visualization skills (preferred)
   

Education and Training Requirements:

Qualifications

• Bachelor’s degree in Accounting, Finance, or related field (required)

• CPA designation (required)

• 5+ years of accounting or bookkeeping experience

• Expert proficiency in QuickBooks and Excel

• Experience supporting a medical practice (preferred)

• U.S. work authorization (required)

Physical Demands:

• While performing the duties of this job, the employee is regularly required to:

  • Talk and hear, stand, walk, sit, use hands to handle, or feel and reach with hands and arms

  • Occasionally stoop, kneel, and crouch

• Must be able to lift and/or move up to 25 pounds.

Work Environment:

• General office environment.

• Maybe exposed to moderate levels of noise in a moderately to fast paced environment.

• Works with other team members or departments to deliver optimal service and meet practice goals.

Benefits:

• Health Insurance

• Dental Insurance

• Vision Insurance

• Paid time off

• 401(k) matching

• Life Insurance

• Short Term Disability

• Employee assistance program

• Employee discount

• Referral program

• Profit sharing                                                                                                                                                                                           

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation, gender identity, or any other characteristic protected by law