Kansas City Orthopedic Alliance is the largest, independently owned orthopedic specialty practice in the Kansas City metro area. We have over 50 medical providers practicing out of six locations (Leawood, Overland Park, Merriam, Lenexa, Belton, and Blue Springs) with a new Ambulatory Surgery Center opening late 2026 in Lenexa.

We are seeking an experienced Controller to join our team, reporting directly to the Chief Operating Officer (COO). The Controller is the practice's senior accounting leader, responsible for the accuracy, integrity, and timeliness of all financial reporting. Owning the general ledger, monthly close, internal controls, budgeting, payroll, accounts payable, and financial reporting across all business lines, including the professional practice and ancillary services such as imaging, physical therapy, DME, and ambulatory surgery center.

The Controller will work in close partnership with the Director of Revenue Cycle. Revenue Cycle owns charge capture, coding, billing, collections, and denial management; and coordinates with that team on the revenue data used in the practice’s financial statements and reporting.

ESSENTIAL FUNCTIONS:

Accounting Operations and Monthly Close

• Lead the monthly, quarterly, and year-end close process, delivering accurate financial statements within 10 business days of month end.
• Maintain the general ledger, chart of accounts, and departmental/location structure to support reporting by clinic, service line, and physician.
• Prepare and review balance sheet reconciliations, journal entries, accruals, and prepaid and fixed-asset schedules.
• Manage fixed-asset accounting and depreciation for high-value equipment (e.g., MRI, X-ray, fluoroscopy, surgical equipment).
• Oversee accounts payable, vendor management, expense approvals, and payment processing.
• Oversee payroll for clinical and administrative staff and physicians, including benefits reconciliation and payroll tax compliance, in coordination with HR.

Financial Reporting and Analysis

• Produce monthly financial packages for the COO and physician leadership, including income statements by location and service line, balance sheet, cash flow, and key performance indicators.
• Prepare physician-level productivity and financial reports (wRVUs, collections, direct and allocated expenses) to support compensation calculations.
• Calculate physician compensation and ancillary income distributions in accordance with the practice's approved compensation plan and operating agreement, ensuring documentation supports compliance with Stark Law and Anti-Kickback requirements as structured by legal counsel.
• Translate financial results into clear, actionable insights for physician owners who may not have a finance background.

Budgeting, Forecasting, and Cash Management

• Lead the annual operating and capital budget process in partnership with the COO and department leaders.
• Prepare monthly budget-to-actual variance analysis and periodic forecasts.
• Monitor and forecast cash flow; manage banking relationships, lines of credit, and equipment financing.
• Support financial modeling for capital investments, new locations, physician recruitment, and new service lines as requested by the COO.

Internal Controls, Compliance, and Audit

• Design, document, and maintain internal controls, including segregation of duties and cash-handling procedures at all clinic front desks.
• Serve as primary liaison to the external CPA firm for the annual audit or review, tax return preparation, and partner K-1s.
• Ensure compliance with federal, state, and local tax requirements, including sales/use tax and property tax filings for equipment.
• Maintain financial records related to partner capital accounts, buy-ins, and buyouts.
• Support insurance renewals, retirement plan audits, and other compliance reporting as needed.

Leadership and Systems

• Supervise, develop, and mentor accounting staff.
• Evaluate and improve accounting systems and processes, including integration between the practice management/EHR system and the accounting system.
• Develop and maintain written accounting policies and procedures.

QUALIFICATIONS:

Required

• Bachelor's degree in Accounting or Finance.
• 7+ years of progressive accounting experience, including at least 3 years in a supervisory or controller-level role.
• Healthcare accounting experience, preferably in a physician practice, medical group, or ASC environment.
• Strong command of GAAP, accrual accounting, and month-end close processes.
• Working knowledge of healthcare revenue concepts, including contractual adjustments, payer mix, and A/R valuation.
• Advanced Excel skills and experience with accounting software [e.g., QuickBooks, Sage Intacct, NetSuite].

Preferred

• CPA certification.
• Experience in orthopedics or another procedure-based specialty with ancillary services.