Cost Accountant
Medical Center Hospital • Odessa, Texas • Full Time
Posted on Tue, Sep 22, 2026
Position Summary:
Responsible for healthcare cost accounting activities that provide accurate, timely financial, clinical, and operational information to hospital leadership. Maintains and validates cost-accounting data, methodologies, allocation structures, and related reporting processes. Analyzes patient, procedure, department, physician, payor, and service-line performance and translates complex information into actionable insights.
Maintains the integrity of the hospital's cost-accounting methodology and supports the accurate allocation of financial and operational costs across the organization. Partners with Finance, Accounting, Revenue Cycle, Information Technology, clinical departments, and operational leaders to identify opportunities to improve cost, margin, productivity, and operational performance.
Education:
- Bachelor's degree from an accredited college or university in Accounting, Finance, Business Administration, Healthcare Administration, Economics, or a related field required.
- Master's degree in Accounting, Finance, Business Administration, or Healthcare Administration preferred.
Preferred Certifications and Professional Development:
- Certified Public Accountant (CPA), Certified Management Accountant (CMA), Certified Healthcare Financial Professional (CHFP), or another relevant Healthcare Financial Management Association (HFMA) certification preferred.
- Relevant healthcare cost-accounting experience may be considered alongside professional certification, education, and other applicable experience.
Training and Experience:
- One (1) to three (3) years of accounting, cost accounting, financial analysis, healthcare finance, or closely related experience is required.
- Healthcare finance, hospital accounting, hospital cost accounting, or hospital operations experience preferred.
- Experience with healthcare financial or cost-accounting systems preferred.
- Experience analyzing and reconciling large financial and operational datasets required.
- LEAN or process-improvement experience preferred.
Job Knowledge:
- Knowledge of accounting principles, financial reporting, cost-accounting methodologies, allocation methods, variance analysis, and general-ledger relationships.
- Knowledge of direct and indirect costs fixed and variable costs, overhead allocation methodologies, and service-line profitability concepts is preferred.
- Advanced Microsoft Excel skills including PivotTables, lookup functions, formulas, data validation, and reconciliation of large datasets.
- Ability to prepare accurate recurring and ad hoc reports utilizing financial and operational information.
- Strong analytical, reconciliation, critical-thinking, and problem-solving skills.
- Excellent written and verbal communication skills.
- Ability to explain financial and cost-accounting information to financial and non-financial audiences.
- Ability to manage multiple priorities, meet deadlines, and work independently and collaboratively.
- Ability to maintain confidentiality and exercise sound professional judgment.
Unusual Physical Demands and Working Conditions:
A. Ability to perform:
1. Prolonged sitting and prolonged VDT (video display terminal) exposure.
2. Ability to lift to twenty (20) pounds.
B. Possible exposure to patients with infectious diseases
AuditFriendly salary estimate
The employer did not post a salary for this role. Based on AuditFriendly's salary intelligence model (comparable live postings, role, seniority, and location), we estimate base pay of $71,000–$98,000 per year (median ~$81,000). This is an AuditFriendly estimate, not an employer-provided figure.
More live cost_accountant roles
- Cost Accountant at Turner & Townsend — Dublin, Europe, IE
- Bookkeeper - Job Cost Accountant JCA Part Time at Paul Davis Restoration — Island Heights, New Jersey, United States
- Bookkeeper - Job Cost Accountant - Part Time at Paul Davis Restoration — Island Heights, New Jersey, United States
- Entry Level Cost Accountant I – Operational Finance at Turner Construction Company — Huntsville, AL, US
- Entry Level Cost Accountant at Turner Construction Company — Huntsville, Alabama, United States
- Cost Accountant at Nesco Resource — Mount Sterling, Kentucky, US
- Cost Accountant at Texas Hydraulics — Temple, Texas, United States
- Cost Accountant at Venturity Financial Partners — Garfield, Texas, United States
- Project Cost Accountant at Encore Fire Protection — US - Rhode Island
- Cost Accountant at Us Café Spice — New Windsor, NY, United States
- Cost Accountant at Hood Packaging Corporation — Arden Hills, Minnesota, US
- Sr. Manufacturing Cost Accountant at VOLT — Taylor, Texas, United States
- Senior Manufacturing Cost Accountant at VOLT — Taylor, Texas, United States
- Cost Accountant at Department for Work & Pensions — Nashua, New Hampshire, United States
- Cost Accountant at NetworkRail — Baltimore, MD, United States
- Cost Accountant at Hornbill — Boxborough, Massachusetts, United States
- Cost Accountant at Simply Staffed — Waverly, IA, US
- Entry Level Cost Accountant I – Operational Finance-Huntsville at Turner Construction Company — Huntsville, Alabama, US
- Entry Level Cost Accountant I – Operational Finance- Huntsville at Turner Construction Company — Huntsville, AL, US
- Cost Accountant at Medical Center Hospital — Odessa, Texas, United States
- Job Cost Accountant at Global Channel Management — Boca Raton, Florida, United States
- Auditor/Cost Accountant at State of Nebraska — Lincoln, Nebraska, US