Full-Time

Benefits Coding Analyst

Sentara Health

Sentara Health

10,001+ employees

Nonprofit integrated health system and insurer

No salary listed

Richmond, VA, USA

Remote

Remote work requires the ability to commute to the Richmond location.

Associate's

Category
Medical, Clinical & Veterinary (1)
Required Skills
Medical Terminology
Requirements
  • Certified Professional Coder certification.
  • At least 2 years of medical coding or billing experience specifically within reimbursement, coding, claims processing, claims auditing, or payment methodologies.
  • Experience resolving billing and claims issues related to benefit-to-code assignment.
  • Thorough knowledge of anatomy and medical terminology.
  • Expertise with National Correct Coding Initiative guidelines.
  • Knowledge or direct experience processing government program or commercial health claims for a managed care organization.
  • Experience with International Classification of Diseases, 10th Revision, Clinical Modification; Current Procedural Terminology; Healthcare Common Procedure Coding System; and QNXT.
Responsibilities
  • Maintain the integrity of plan benefits for each program and develop extensive expertise in all plan benefits.
  • Work closely with Claims, Compliance, Program, Information Technology, and Health Services/Medical Management teams to ensure benefits comply with state and federal guidelines and align with program benefit offerings.
  • Synthesize input from multiple stakeholders to inform significant business decisions regarding benefit implementation.
  • Coordinate and maintain benefit design documentation for the organization.
  • Research, code, and assist with developing benefit and utilization review policies and criteria for emerging treatments, technology, medications, and health plan services.
  • Research code updates, authorization requests, and claim questions.
  • Update business rules and benefit repositories as appropriate.
Desired Qualifications
  • Associate Degree in Healthcare.
  • Certified Inpatient Coder certification.
  • Medical Assistant Certification.
  • Experience in established benefit coding environments and determining coding requirements for new benefits.

Sentara Health operates a nonprofit, integrated health system across Virginia and North Carolina, running hospitals, urgent care, imaging, and primary care alongside its own health insurance plans. Services span virtual care, cancer and heart care, orthopedics, maternity, and home-based primary care for high-need patients. What sets Sentara apart is pairing hospital and physician care with its own health plans, coordinating coverage and treatment under one system. The goal is to improve health every day so people can keep doing what they love.

Company Size

10,001+

Company Stage

N/A

Total Funding

N/A

Headquarters

Norfolk, Virginia

Founded

N/A

Simplify Jobs

Simplify's Take

What believers are saying

  • Halifax Regional Hospital's $107 million campus targets summer 2026 completion and expandable capacity.
  • Nurse Connect virtual night-shift support on June 22, 2026 boosts retention and mentorship.
  • Pasquotank County High School telehealth clinic opened May 7, 2026, expanding community access.

What critics are saying

  • Sentara's July 31, 2026 Anthem notice threatens in-network access for 380,000 Virginians by 2027.
  • Sentara Health Plans cut about 220 jobs after dropping unprofitable Medicare Advantage plans in 2025.
  • If Anthem talks fail, payer disruption and member churn hit Sentara's 2027 revenue base.

What makes Sentara Health unique

  • Sentara Albemarle recruited 25 providers in 12 months by selling community-rooted rural practice.
  • Sentara opened Norfolk's only free-standing vascular access center on June 23, 2026.
  • Sentara and Infosys launched enterprise AI on June 24, 2026 for workflows and clinicians.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Company Match

Tuition Reimbursement

Adoption Assistance

Fertility Treatment Support

Pet Insurance

Legal Resources Plan

Paid Vacation

Paid Sick Leave

Parental Leave

Professional Certification Support

Training Programs

Professional Development Budget

Performance Bonus

Company News

Sentara
Aug 10th, 2026
Sentara Albemarle cracks the code on attracting providers to a rural community hospital.

Sentara Albemarle cracks the code on attracting providers to a rural community hospital. Ten of the 25 new providers who have started at Sentara Albemarle Medical Center in the past year pose for a group photo outside the hospital In an era when health systems across the country are facing steep recruitment hurdles, Sentara Albemarle Medical Center in Elizabeth City, North Carolina, has quietly cracked the code. Within its first year, the new hospital, which replaced a 65-year-old facility last year, brought on 25 new providers spanning cardiology, general surgery, internal and family medicine, pediatrics, gastroenterology, orthopedics, midwifery, and OB-GYN. One might assume the catalyst was the state-of-the-art $278 million medical campus that opened its doors last year. While the high-tech facility certainly doesn't hurt, the providers themselves will tell you it wasn't the main draw. "I mean yes, it's a beautiful hospital, but that's not why I chose to practice here," said pediatrician Dr. Aditi Mahendra Patil. "I wanted peace and quiet and a place which truly values healthcare accessibility." Dr. Patil, who previously practiced in India and New York City, pointed to something money can't buy: an authentic connection with her patients. "I've never so far in my life experienced the kind of genuine appreciation my patients show me," she said. "It's mutual, and I know my patients very well now." Dr. Donald Bowling, chief medical officer at Sentara Albemarle, said authentic connection is baked into the history of Elizabeth City. In 1915, area residents pulled together $45,000 to fund the construction of Elizabeth City Hospital, the first medical center in northeastern North Carolina. In today's dollars, that investment would be worth roughly $1.5 million. "For more than a century, people have viewed the hospital with a sense of personal responsibility," said Dr. Bowling. "When you see your patients in the grocery store, at church, it is easier to see the impact you make." Redefining the work-life model. At the heart of the hospital's recruitment success is a willingness to adapt to what modern clinicians want out of their careers. Sentara Albemarle Medical Center President Teresa Watson, who began her own healthcare career as a medical assistant, understands that recruitment starts with meeting clinicians where their values lie. "If you want to be fulfilled here, patient care has to be your main motivator," Watson said. "It's not about just the amenities you have in your backyard, but your commitment to the people you serve." "The days of, 'I want to recruit a physician to work five days a week, from sunup to sundown and be available on call,' that's just not the mindset," she added. To back up that philosophy, the hospital reimagined traditional schedule models. For example, the OB-GYN practice established a flexible week-on/week-off schedule that allows doctors to give 100% to their patients without burning out. Additionally, Sentara Albemarle is exploring opportunities to develop a family medicine residency program designed to help attract, train and retain future physicians in the communities it serves. For orthopedic physician assistant Alexandra Spivey, practicing in a rural community has made all the difference. "My husband is from here, and it has become my home through him and his family," she said. "The patients are more grateful here. They're appreciative if you take the time to explain things, and I'm eager for more providers to become community-minded." Finding the heart of medicine. For some clinicians, Elizabeth City offers an opportunity to build deeper connections with patients and find renewed purpose in their work. Shannon Bingham, a critical care nurse practitioner, said, "I feel like I can give patients better care, I can spend more time with them. It fulfills me in ways I didn't know I needed." The appeal isn't just cultural. Providers say practical tools also help reduce friction and allow them to spend more time with patients - like ambient AI documentation tools that listen and chart during patient visits, and integrated campus layouts that provide smooth transitions between clinic visits and bedside rounding. "It's really nice to be able to round on patients, go back to clinic, and just do a full scope of medicine all in one day," Spivey said. "If someone has a patient who needs imaging, it's down the hall. If a patient needs to get to the emergency room, it's right there." In the past year, prominent local gastroenterologist Dr. Steven Faber closed his 33-year private practice and became Sentara Albemarle's first full-time GI specialist - and one of the only GI providers serving the surrounding region. Dr. Faber receives the Golden Stethoscope Award. To his left is Na Jordan, surgical technologist whose 45 years of service makes her the longest-serving colleague at Sentara Albemarle. "It's a calling. I love what I do and I always have," said Dr. Faber, who grew up in Brooklyn, New York and went to medical school in Italy. "Practicing with a system like Sentara, instead of running my own practice, allows me to focus on what I care about most, which is my patients." Dr. Adebimpe O. Howells-Solesi, family medicine physician, said, "People often assume rural medicine means sacrificing opportunities, but I've found the opposite to be true." "Here, you can practice the full scope of family medicine, develop meaningful patient relationships, and still enjoy a strong sense of balance and community." Global representation alongside local roots. A key focus of Sentara Albemarle is building care teams that mirror the community they serve. Damaris Brooks, a certified nurse-midwife living and practicing in Elizabeth City, highlighted the impact of expanding team diversity. "I think it is helpful when patients can see clinicians that look like them," Brooks said. "They start telling their friends, their family like, 'Hey, there's somebody over here who actually listens and takes good care of us.'" That mix of global perspectives - like Dr. Akua Adinkrah, a family medicine doctor from Montreal with experience in Ghana - and long-standing local veterans creates a supportive safety net for patients. (From left) Dr. Howells-Solesi, Dr. Patil, Dr. Adinkrah, Spivey, physician assistant, and Brooks, certified nurse midwife, stand together in front of Sentara Albemarle Medical Center. "They allow me to practice medicine the way I want, and I enjoy running into patients once in a while out in the community, which you wouldn't see in a big city," said Dr. Adinkrah. Andrea Brandi, family nurse practitioner, who spent nearly three decades in regional community health before stepping into her new role, relies on those deep community roots every day. "Being local and practicing nursing for 29 years, I'm able to tell my patients, 'Here's what I know about the health department services and transport services,'" Brandi said. "You're able to better relate with your patients when you work and live in the area that they live in." Growth on the horizon. For established providers in the area, seeing 25 new colleagues arrive over a single 12-month period is proof that the region's medical care is heading in the right direction. "It says to me: I made a good move because all of these others are doing the same thing," said Dr. Crystal Privette, a longtime regional OB-GYN who recently joined Sentara. "It also says that growth is on the horizon." At its core, the care at Sentara Albemarle Medical Center comes down to a simple, shared commitment among hospital leadership, clinical staff, and the community itself. "We're here for the community," Bingham said. Dr. Patil agreed, offering a simple promise to regional residents: "We genuinely care." By: Kelly Anne Morgan

Sentara
Aug 6th, 2026
5 Sentara hospitals ranked best in Hampton Roads by U.S. News & World Report.

5 Sentara hospitals ranked best in Hampton Roads by U.S. News & World Report. Sentara Norfolk General Hospital ranked No. 1 in Hampton Roads, No. 3 in Virginia Eight Sentara hospitals have earned rankings in U.S. News & World Report's 2026 Best Hospitals report, with Sentara Norfolk General Hospital leading the way as No. 1 in Hampton Roads and No. 3 in Virginia. Sentara Norfolk General Hospital is a regional Level I trauma and burn center, and a tertiary referral center for complex patients transferred from community hospitals for higher levels of care. It is the primary teaching hospital for Eastern Virginia Medical School at Old Dominion University, and home base for the Sentara Nightingale Regional Air Ambulance. The hospital also received high-performance rankings for medical specialties, including No. 1 in Hampton Roads and No. 2 in Virginia for cancer care, No. 1 in Hampton Roads and No. 3 in Virginia for surgery, No. 1 in Hampton Roads for rehabilitation, and No. 1 in Hampton Roads and No. 3 in Virginia for cardiology and heart and vascular surgery. It is also the only organ transplant program in Hampton Roads, offering heart, kidney, and pancreas transplants. "We are proud to be recognized for clinical excellence in improving the health of our community," said Dana Weston Graves, senior vice president and acute care president for Sentara's Southeast Market - Norfolk, which includes Sentara Norfolk General and Sentara Leigh Hospital. "This recognition reflects the dedication of our team members and physicians, who provide state-of-the-art care around the clock." Of the seven other Sentara hospitals ranked by U.S. News for 2026, Sentara Princess Anne Hospital and Sentara Virginia Beach General Hospital are tied for No. 3 in Hampton Roads, while Sentara CarePlex Hospital and Sentara Williamsburg Regional Medical Center are tied for the No. 5 spot. Sentara CarePlex is also rated as Best Regional Hospital for Community Access. It was the first of three Sentara hospitals to install refrigerated food lockers outside their emergency departments in partnership with local non-profits, allowing patients and residents with food insecurity to access healthy food 24 hours a day using digital codes. U.S. News & World Report began publishing hospital rankings in 1990 to help patients make informed choices about their providers. Rankings are developed from publicly available hospital performance data, such as Medicare claims, as well as expert opinion. "Patients come to us at vulnerable times and we take their trust in us seriously," said Joanne Inman, senior vice president and acute care president for Sentara's Southeast Market - Virginia Beach, which includes Sentara Virginia Beach General Hospital, Sentara Princess Anne Hospital, and Sentara Albemarle Medical Center in Elizabeth City, NC. "Our commitment to you and your loved ones is to elevate our care and deliver an extraordinary patient experience, no matter which Sentara facility you turn to for care." By: Dale Gauding

Sentara
Jul 20th, 2026
Sentara hospitals receive national recognition for stroke care quality.

Sentara hospitals receive national recognition for stroke care quality. Eleven hospitals earn American Heart Association Get With The Guidelines(R) awards for commitment to life-saving care For the past eight years, Sentara Health has partnered with the American Heart Association (AHA) through the Get With The Guidelines(R) program, an initiative dedicated to improving patient outcomes by applying the latest evidence-based research, clinical guidelines, and performance measurement tools. This year, 11 Sentara hospitals were recognized by the AHA for providing outstanding stroke care throughout Virginia and northeast North Carolina. Each hospital earned a Gold Plus award for sustained excellence in stroke care, consistently following the latest stroke treatment guidelines and achieving positive patient outcomes for two or more consecutive calendar years. In addition, Sentara Albemarle Medical Center received the Rural Stroke Silver award, recognizing rural hospitals that meet program standards for four consecutive quarters, or one full year. These awards aim to address disparities in healthcare outcomes, as rural populations face higher risks of stroke mortality and heart disease compared to urban populations. The commendations are based on a range of performance measures, including timely treatment, stroke screening, patient education, and rehabilitation. These annual honors reflect Sentara's continued commitment to delivering exceptional stroke care. | Hospital | Achievement & Quality Award | Target Stroke Honor Roll | Target: Type 2 Diabetes | | Sentara CarePlex Hospital | Gold Plus | Honor Roll Elite | Honor Roll | | Sentara Leigh Hospital | Gold Plus | Honor Roll Elite | Honor Roll | | Sentara Martha Jefferson Hospital | Gold Plus | / | Honor Roll | | Sentara Norfolk General Hospital | Gold Plus | Honor Roll Elite Advanced Therapy | Honor Roll | | Sentara Northern Virginia Medical Center | Gold Plus | Honor Roll Elite | Honor Roll | | Sentara Princess Anne Hospital | Gold Plus | Honor Roll Elite Plus | Honor Roll | | Sentara Virginia Beach General Hospital | Gold Plus | Honor Roll Elite | Honor Roll | | Sentara Albemarle Medical Center | Gold Plus Rural Stroke Silver | Honor Roll Elite | Honor Roll | | Sentara RMH Medical Center | Gold Plus | Honor Roll Elite | Honor Roll | | Sentara Obici Hospital | Gold Plus | Honor Roll Elite Plus | Honor Roll | | Sentara Williamsburg Regional Medical Center | Gold Plus | Honor Roll Elite | Honor Roll | "Excellence in stroke care is not the result of a single individual; it is a carefully coordinated, multidisciplinary effort," said Alexander Grunsfeld, M.D., medical director of neurosciences and the Sentara stroke service line. "From the moment pre-hospital alerts are received to the dedication of our bedside nurses and specialized clinical teams, everyone plays a vital role. These Get With The Guidelines(R) awards reflect the seamless integration and dedication of our entire team to giving every patient their absolute best chance at recovery." Sentara has used the Get With The Guidelines(R) registry since 2017. The interactive online platform enables hospitals to track performance, measure adherence to evidence-based stroke care, and identify opportunities to further enhance patient outcomes. In addition to recognizing clinical excellence, the program aims to reduce gaps in care and address health disparities. Since its launch in 2003, the Get With The Guidelines(R) stroke program has helped improve care for more than 14 million patients worldwide. For Sentara, participation in the program remains an important part of its ongoing efforts to strengthen stroke care and improve outcomes for patients facing this life-threatening condition. According to the American Heart Association, someone in the United States dies from a stroke every 3 minutes and 33 seconds. Sentara remains dedicated to helping change that statistic through evidence-based care, continuous quality improvement, and a steadfast commitment to clinical excellence. As one of more than 2,800 hospitals nationwide participating in the Get With The Guidelines(R) stroke program, Sentara is proud to provide high-quality, science-based stroke care to every patient, every day. By: Jen Lewis

Yahoo Finance
Jul 8th, 2026
Infosys partners with Sentara to scale AI integration across hospital operations and clinical support

Infosys has partnered with Sentara to build a foundation for AI development across hospital operations, IT, and clinical support. The collaboration, announced on 24 June, aims to enhance efficiency, support clinicians, and improve patient experiences. Infosys will deploy its Topaz Fabric platform, an agentic services suite designed to help Sentara scale AI use cases from pilot programmes to full production across enterprise systems. The approach will help the not-for-profit healthcare organisation prioritise high-value use cases and evolve AI capabilities across business operations. Venky Ananth, EVP and global head of healthcare at Infosys, said the collaboration will unlock AI value by building a strong enterprise AI foundation and accelerating operationalisation across hospital systems.

Suffolk News-Herald
Jul 7th, 2026
Sentara Obici gets an A in social responsibility.

Sentara Obici gets an A in social responsibility. Sentara Obici Hospital earned an A for social responsibility in the 2026-27 Lown Institute Hospitals Index, joining 10 other Sentara hospitals that also earned A grades. Sentara Obici Hospital received an A grade for social responsibility in the 2026-27 Lown Institute Hospitals Index, placing the Suffolk hospital among 11 Sentara hospitals to earn the top grade in that category, according to a Sentara news release. The Lown Institute ranked Sentara Obici No. 383 nationally out of 2,689 hospitals and No. 23 in Virginia out of 69 hospitals for social responsibility. The ranking measures hospitals across health equity, value and patient outcomes, according to the index. Sentara Obici, a 175-bed hospital on Godwin Boulevard in Suffolk, serves Western Tidewater and offers services including emergency care, behavioral health, maternity care, heart and vascular care, orthopedics and imaging, according to Sentara. The Lown Institute also gave Obici an A for value and an A for outcomes. The hospital received a B in equity, according to the institute's hospital profile. Across the system, 11 Sentara hospitals earned an A for social responsibility, up from 10 last year, the release said. The list included Sentara Albemarle Medical Center, Sentara CarePlex Hospital, Sentara Halifax Regional Hospital, Sentara Leigh Hospital, Sentara Martha Jefferson Hospital, Sentara Norfolk General Hospital, Sentara Northern Virginia Medical Center, Sentara Obici Hospital, Sentara RMH Medical Center, Sentara Virginia Beach General Hospital and Sentara Williamsburg Regional Medical Center. Sentara Healthcare, as listed by the Lown Index, ranked No. 41 nationally out of 331 hospital systems for social responsibility and No. 3 nationally for outcomes. Four Sentara hospitals - Sentara Albemarle Medical Center, Sentara Halifax Regional Hospital, Sentara Martha Jefferson Hospital and Sentara RMH Medical Center - were named to the Lown Index Honor Roll. The honor roll is reserved for hospitals that receive A grades across equity, value and outcomes. Nationally, 123 of 2,718 acute care hospitals and 37 of 900 critical access hospitals made the 2026-27 honor roll, according to the Lown Institute. "Honor Roll status is earned by hospitals meeting the highest standards across the breadth of our metrics," said Vikas Saini, president of the Lown Institute, in the release. The Lown Institute said its index uses more than 50 metrics, including health equity, value and outcomes. Its methodology relies on publicly available data, including Medicare claims, Centers for Medicare and Medicaid Services data, IRS Form 990 filings and other sources. Story Tags