Accountant II at Kootenai Health – Coeur d'Alene, Idaho

Accountant II

Job Code: 26000

Position Summary

We’re seeking a remote Accountant II to support journal entries, month‑end close, Medicare cost reporting, and third‑party reimbursement work within our healthcare finance team. This role blends routine reporting, variance analysis, and external reporting projects, and is ideal for someone with public accounting audit or healthcare finance experience, strong GAAP knowledge, and intermediate to advanced Excel skills. The schedule is typically 8:00–4:30 with flexibility, with heavier workload during the January–March cost report season.

What your first 90 days look like

• Learning core systems: Infor, Axiom, and Epic
• Owning and preparing GL patient AR journal entries
• Supporting the preparation of the 2025 Medicare cost report
• Building familiarity with external reporting and reimbursement workflows

You’ll join a team that values strong communication, initiative, and independent ownership. The ideal person is analytical, curious, and comfortable asking questions while also taking responsibility for their area. Collaboration is important, but so is the ability to work autonomously.

The schedule is typically 8:00–4:30, with some flexibility.

Responsibilities

• Prepares balance sheets, profit and loss statements, and other financial reports.

• Responsibilities also include analyzing trends, costs, revenues, financial commitments, and obligations incurred to predict future revenues and expenses
Experience that translates well:

• Public accounting audit
• Healthcare finance
• Medicare cost reporting
• Third‑party reimbursement
• Large dataset analysis
• Internal or external reporting

Requirements and Minimum Qualifications

• Bachelor’s degree required; Accounting major preferred or equivalent accounting courses

• Minimum 2 years of accounting experience required

• Understanding of generally accepted accounting principles required

• Proficient in computer software applications (i.e. Microsoft Word and Excel) required

***Healthcare professional with 3rd party audits, medicare, cost reports, reimbursement experience a huge plus!***

Working Conditions

• Must be able to maintain a sitting position

• Typical equipment used in an office job

• Remote eligible

Your location:

This position is US-Remote Eligible. Currently, Kootenai Health employees cannot be located in: California, Hawaii, Massachusetts, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Dakota, Rhoda Island, Vermont, Washington D.C., West Virginia, or Wyoming. This list is continuously evolving and may be updated.

About Kootenai Health:

Kootenai Health is a highly esteemed healthcare organization serving patients throughout northern Idaho and the Inland Northwest. We have been recognized with many accolades and distinctions, including being a Gallup Great Workplace, No. 1 Best Place to Work in Large Healthcare Organizations, and Magnet™ Status for Nursing Excellence. We pride ourselves on our outstanding reputation as an employer and a healthcare provider.

As your next employer, we are excited to offer you:

• Kootenai Health offers comprehensive medical plan options, including options for fully paid employer premiums for our full-time employees. For part-time employees, we offer the same plan options with affordable part-time premiums. In addition to medical insurance, we offer many voluntary benefits ranging from dental and vision to life and pet insurance. Kootenai Health also offers well-being resources and telemedicine service options to all employees, regardless of benefit eligibility. Benefits begin on the 1st of the month following 30 days of employment.


• Kootenai Health’s tuition assistance program is available after 90 days. If you want to further your education, we'll help you pay for it


• Kootenai Health sponsors retirement plans for employees that enable you to save money on a pre-tax and Roth after tax basis for your retirement. Kootenai Health will match your contributions based on years of service ranging from 3-6 percent.


• Competitive salaries with night, weekend, and PRN shift differentials


• An award-winning and incentive-driven wellness program. Including a MyHealth corporate team, onsite financial seminars, and coaching


• Employees receive discounts at The Wellness Bar, PEAK Fitness, and more


• Robust and interactive employee referral program


• And much more

Kootenai Health provides exceptional support for extraordinary careers. If you want to work on a high-quality, person-centered healthcare team, we can't wait to meet you!

Apply today! Please contact the HR Front Desk at 208-625-4620 or email careers@kh.org with any questions.

Kootenai Health complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, veteran status, or sex. Kootenai Health does not exclude people or treat them differently because of race, color, national origin, age, disability, veteran status, or sex.

#KHHP2025