Fractional Healthcare Controller / Senior Accountant (Remote – WA Preferred)

Job Overview
Join a mission-driven healthcare group focused on recovery and results.

Coast Injury Medicine and Coast Imaging MRI are trusted names in rehabilitation and diagnostic imaging, with 5 physiatry clinics and 3 MRI centers across the region. We specialize in motor vehicle accident and work-related injury care, supported by a dedicated team of 80+ professionals. To learn more about us please visit us at www. www.coastinjury.net/ www.coastmri.net

We are currently seeking a Fractional Healthcare Controller or Senior Accountant to help us analyze our financial performance, uncover areas of loss or inefficiency, and build a structure for scalable financial growth. This is a remote, part-time, or project-based role—ideal for a detail-oriented financial professional with experience in medical or healthcare finance.

Duties
• Review and analyze financial statements across all clinics and MRI centers
• Identify areas of financial inefficiency, potential losses, or discrepancies
• Develop improved financial processes, controls, and reporting systems
• Create financial dashboards or KPIs to help leadership make data-driven decisions
• Work with leadership to align financial strategy with business growth goals
• Provide insights into cost management, revenue streams, and profit margins
• Collaborate with external accountants, billing, and internal administrative staff

Requirements
• 5+ years of experience in healthcare or medical accounting/finance
• Strong background in financial analysis, forecasting, and reporting
• Experience with multi-entity operations or multi-location practices preferred
• Familiar with QuickBooks, Excel, and healthcare billing systems
• Self-starter, detail-oriented, and comfortable working independently
• CPA or equivalent designation preferred but not required
• Based in Washington State or able to work PST hours preferred

What We Offer:
• Flexible schedule: part-time or project-based role
• Opportunity to make a real impact on a growing healthcare business
• Collaborative leadership team open to innovation and structure
• Remote work with potential for long-term engagement

If you are passionate about accounting and eager to contribute to a growing organization, we encourage you to apply for this exciting opportunity.

Job Types: Full-time, Part-time, Contract

Pay: $60.00 – $100.00 per hour

Expected hours: 15 – 40 per week

Benefits:
• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Paid time off
• Vision insurance

Work Location: Remote