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Forensics Medical Coder Jobs in Illinois (NOW HIRING)

BDO USA

Experienced Associate, Forensics

Chicago, IL · On-site

Contributes to forensic engagements related to medical coding and billing, revenue cycle, payment integrity, the False Claims Act, the Stark Law, the Anti-Kickback Statute, and other matters

BDO

Experienced Associate, Forensics

Chicago, IL · On-site

Contributes to forensic engagements related to medical coding and billing, revenue cycle, payment integrity, the False Claims Act, the Stark Law, the Anti-Kickback Statute, and other matters

BDO USA

Director, Forensics Healthcare

Chicago, IL · On-site

Simplifies complex coding, reimbursement, medical necessity, data, and regulatory concepts for ... forensic analysis, and expert testimony * Monitors and implements industry trends, legal and ...

BDO

Director, Forensics Healthcare

Chicago, IL · Remote

Simplifies complex coding, reimbursement, medical necessity, data, and regulatory concepts for ... forensic analysis, and expert testimony * Monitors and implements industry trends, legal and ...

State of Illinois

MEDICAL DIRECTOR

Alton, IL · On-site

$309K - $325K/yr

MEDICAL ADM II OPT D - 26403 Skill Option: Special License - IL License to Practice Medicine ... Examines forensic (90%) and civil (10%) patients for certification under the Mental Health Code.

State of Illinois

MEDICAL DIRECTOR

Alton, IL · On-site

$309K - $325K/yr

MEDICAL ADM II OPT D - 26403 Skill Option: Special License - IL License to Practice Medicine ... Examines forensic (90%) and civil (10%) patients for certification under the Mental Health Code.

Myana

MEDICAL DIRECTOR

Alton, IL · On-site

$150 - $200/hr

Examines forensic (90%) and civil (10%) patients for certification under the Mental Health Code ... Three (3) years of substantive medical administrative experience in the directing, planning and ...

J.S. Held LLC

Forensic Mechanical Engineer

Chicago, IL · Hybrid

$130K - $170K/yr

Research failure modes, code requirements, and provide recommendations for repair and /or ... Medical, Dental, and Vision Insurance * 401k Match * Commuter Benefit A reasonable estimate of the ...

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Forensics Medical Coder information

What is a forensics medical coder?

Forensics Medical Coders are specialized professionals who review, analyze, and assign standardized codes to medical records related to forensic cases, such as deaths, injuries, or legal investigations. They work closely with forensic pathologists, law enforcement, and legal teams to ensure accurate documentation and classification of medical data for legal and administrative purposes. Their coding helps facilitate investigations, legal proceedings, and the compilation of public health statistics. Additionally, Forensics Medical Coders must have a strong knowledge of medical terminology, legal standards, and specific coding systems used in forensic contexts.

What skills and qualifications are needed to be a forensics medical coder?

To thrive as a Forensics Medical Coder, you need a thorough understanding of medical terminology, forensic procedures, and coding systems, typically validated by a certification such as CPC or CCS. Familiarity with coding software, electronic health records (EHRs), and forensic documentation systems is essential. Attention to detail, analytical thinking, and ethical judgment are crucial soft skills that set top performers apart. These skills ensure accurate coding for legal and insurance purposes, supporting the integrity of forensic medical records and proper reimbursement.

What challenges do forensics medical coders face when handling sensitive case documentation?

Forensics Medical Coders often encounter challenges such as interpreting complex medical records from autopsies or crime scenes, ensuring accuracy while handling sensitive or graphic information, and maintaining strict confidentiality. They must be detail-oriented to correctly translate nuanced forensic findings into standardized codes, which is crucial for legal and insurance purposes. Additionally, they regularly collaborate with forensic pathologists and law enforcement, requiring strong communication skills and the ability to navigate multidisciplinary teams.

What is the difference between Forensics Medical Coder vs Medical Coder?

AspectForensics Medical CoderMedical Coder
CredentialsCertification (e.g., CPC, CCS)Certification (e.g., CPC, CCS)
Work EnvironmentCrime labs, forensic departments, hospitalsHospitals, clinics, insurance companies
Employer & IndustryLaw enforcement, forensic agencies, healthcareHealthcare facilities, insurance companies
Job FocusMedical coding related to forensic cases, legal documentationGeneral medical coding for billing and records

While both roles require medical coding certifications, Forensics Medical Coders specialize in coding for forensic cases and legal documentation within law enforcement or forensic settings. Medical Coders typically work in healthcare environments focusing on billing and medical records. The key difference lies in the work environment and case focus, with Forensics Medical Coders handling specialized forensic data.

How much does a forensics medical coder make?

Forensics medical coders typically earn between $40,000 and $70,000 annually, depending on experience, certification, and location. They analyze medical records related to legal cases and often work with coding tools like ICD and CPT, with some roles requiring specialized training or certification.

What does a forensics medical coder do?

A forensics medical coder reviews medical records related to forensic cases, such as injuries or causes of death, and assigns appropriate medical codes for documentation and legal purposes. They must have knowledge of medical terminology, coding systems like ICD and CPT, and often work closely with law enforcement or legal professionals. Accuracy and attention to detail are essential in this role.

What are popular job titles related to Forensics Medical Coder jobs in Illinois?

For Forensics Medical Coder jobs in Illinois, the most frequently searched job titles are:

What job categories do people searching Forensics Medical Coder jobs in Illinois look for?

The top searched job categories for Forensics Medical Coder jobs in Illinois are:

What cities in Illinois are hiring for Forensics Medical Coder jobs?

Cities in Illinois with the most Forensics Medical Coder job openings:

Forensics Medical Coder jobs near you
Infographic showing various Forensics Medical Coder job openings in Illinois as of August 2026, with employment types broken down into 78% Full Time, 19% Part Time, and 3% Contract. Highlights an 81% In-person, 3% Hybrid, and 16% Remote job distribution.

Experienced Associate, Forensics

BDO USA

Chicago, IL • On-site

Full-time

Retirement

Posted 11 days ago

BDO USA rating

8.4

Company rating: 8.4 out of 10

Based on 28 frontline employees who took The Breakroom Quiz

7th of 23 rated bookkeepers and accountants

Job description


Job Summary:
The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients.
Job Duties:
  • Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters
  • Contributes to forensic engagements related to medical coding and billing, revenue cycle, payment integrity, the False Claims Act, the Stark Law, the Anti-Kickback Statute, and other matters
  • Analyzes healthcare claims data to identify improper payments, billing errors, and potential fraud, waste, or abuse
  • Develops and implements strategies to improve payment accuracy and mitigate overpayments
  • Collaborates with cross-functional teams to validate findings and recommend corrective actions
  • Interprets payer policies, provider contracts, and regulatory guidelines to assess claim appropriateness
  • Prepares and present detailed reports and recommendations to clients and internal stakeholders
  • Supports the design and enhancement of payment integrity tools, algorithms, and audit methodologies
  • Stays current on industry trends, CMS regulations, and emerging payment models.
  • Develops working relationships with internal and external stakeholders and communicates effectively
  • Assists with the preparation of high-quality deliverables to ensure client satisfaction
  • Acts with professionalism and integrity when working with confidential and sensitive information
  • Maintains a proactive and logical approach to information gathering, combining complex ideas and clear and effective information presentation
  • Identifies and researches new trends, tools, and understands the data analytics marketplace while working on client engagements
  • Assists with developing documents, procedures, and solutions on non-billable practice development initiatives
  • Other duties as required

Supervisory Responsibilities:
  • N/A

Qualifications, Knowledge, Skills, and Abilities:
Education:
  • High School Diploma or equivalent, required
  • Bachelor's degree in Healthcare Administration, Public Health, or Business, preferred

Experience:
  • Three (3) years of experience in healthcare consulting, revenue cycle, claims auditing, or payment integrity, required
  • Experience with healthcare reimbursement (Medicare, Medicaid, Commercial), coding (ICD-10, CPT, HCPCS), and claims processing, preferred
  • Experience in the following areas, preferred:
    • Forensic Analytics
    • Compliance Analytics
    • Artificial Intelligence
    • Fraud Analytics

License/Certifications:
  • Active credential in one (1) or more of the following, required: Nationally recognized coding credential (e.g. CPC, CCS, RHIA, RHIA) and/or Certified in Healthcare Compliance (CHC)

Software:
  • Proficiency in data analysis tools (e.g., Excel, SQL, SAS, Tableau), preferred
  • Prior experience with Electronic Health Record software (e.g., EPIC, Cerner, Athena, etc.), preferred
  • Coding/DRG software, preferred

Other Knowledge, Skills & Abilities:
  • Ability to work with a high degree of professionalism and autonomy
  • Excellent verbal and written communication skills
  • Ability to communicate complex information in a clear and concise manner
  • Excellent communication, problem-solving, and project management skills
  • Ability to work independently and manage multiple priorities in a fast-paced environment
  • Solid organizational skills, especially the ability to meet project deadlines with a focus on details
  • Ability to successfully multi-task while working independently or within a group environment
  • Ability to work in a deadline-driven environment, and handle multiple projects simultaneously
  • Ability to interact effectively with people at all organizational levels of the Firm
  • Ability to work collaboratively with others with accountability for work product

Keywords: Forensic, Healthcare Coding, Payment Integrity, Revenue Integrity, Revenue Cycle Management, Consulting, Disputes, Litigation, Investigation, Fraud, Waste, Abuse, Coding Auditor, Charge Capture, Healthcare Compliance
Individual salaries that are offered to a candidate are determined after consideration of numerous factors including but not limited to the candidate's qualifications, experience, skills, and geography.
National Range: $65,000 - $85,000
Maryland Range: $65,000 - $85,000
NYC/Long Island/Westchester Range: $65,000 - $85,000
About Us
At BDO, how we show up matters. We build strong relationships by supporting one another, our clients, and our communities with care, curiosity, and a commitment to helping one another grow and succeed. Here, you'll find meaningful work, leaders invested in your success, and opportunities to build a career around what matters most to you.
Our purpose is to be the people our clients count on to grow with confidence and achieve what matters most. Our values guide how we bring that purpose to life each day. Together, they shape how we work with one another, serve our clients, and create meaningful impact.
BDO provides assurance, tax, and advisory services to clients across the U.S. and around the world. No matter your role, you'll be part of a team helping clients navigate complexity and move forward with clarity.
We are proud to be an ESOP company, offering participants a stake in the firm's success through beneficial ownership and a unique opportunity to enhance their financial well-being. As a qualified retirement plan, the ESOP is a meaningful addition to our comprehensive compensation and Total Rewards benefits* offerings. It also reinforces an ownership mindset that strengthens our connection to one another, our clients, and the future we're building together.
Learn more about our benefits: BDO Total Rewards encompass more than traditional benefits. Click here to find out more!
*Benefits may be subject to eligibility requirements.
Equal Opportunity Employer, including disability/vets
Click here to find out more!

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About BDO

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At BDO, culture is the first order of business. We succeed when we cultivate a conscious and caring corporate culture that puts people at the center of everything we do. In essence, the business of our business is to help people thrive every day. This mindset powers our growth by supporting the development of our people, the success of our clients, and the betterment of our communities. It means taking an expansive view of what’s possible, and committing ourselves to achieving exceptional outcomes. At BDO, we are cultivating a culture where our professionals thrive in their work of providing middle market leaders with insight-driven perspectives and assurance, tax and advisory services, helping companies take business as usual to better than usual.

Industry

Administrative assistance services and accounting services

Company size

10,000+ Employees

Headquarters location

Chicago, IL, US

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