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Forensics Medical Coder Jobs in New York (NOW HIRING)

BDO USA

Director, Forensics Healthcare

Manhattan, NY · 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 ...

Oscar Health

Clinical Investigator

New York, NY · On-site +1

$67K - $89K/yr

Experience conducting forensic medical audit with a focus on validating that clinical narrative supports the specificity and necessity of billed CPC, HCPCS, and ICD-10 codes. Bonus points: * Bachelor ...

Westchester Medical Center

Program Manager

Valhalla, NY · On-site

$35.89 - $45.43/hr

... medical/forensic exams, court, police stations, and other appointments as needed. * Provides ... Code and Rights of Victims, police department operations, policies and procedures. Ability to ...

Westchester Medical Center

Program Manager

Valhalla, NY · On-site

$35.89 - $45.43/hr

... medical/forensic exams, court, police stations, and other appointments as needed. o Provides ... Code and Rights of Victims, police department operations, policies and procedures. Ability to ...

Actalent

Structural Engineering

Watchung, NJ

$90K - $130K/yr

Structural Engineer This is a high‑impact forensic structural engineering role designed for ... Code & contractor interface -- Coordinate with building officials and contractors on compliance and ...

Actalent

Structural Engineering

Hillsborough, NJ

$90K - $130K/yr

Structural Engineer This is a high‑impact forensic structural engineering role designed for ... Code & contractor interface -- Coordinate with building officials and contractors on compliance and ...

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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 New York?

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

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

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

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Cities in New York with the most Forensics Medical Coder job openings:

Forensics Medical Coder jobs near you

Director, Forensics Healthcare

BDO USA

Manhattan, NY • 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:
BDO is seeking a seasoned healthcare expert testifier to join its rapidly growing Healthcare Forensics practice. This individual will play a critical leadership role in high-stakes healthcare litigation, arbitration, and payer/provider disputes, with a particular focus on hospital/inpatient reimbursement, DRG coding, and payment integrity. The ideal candidate brings a proven track record of expert testimony, deep subject matter expertise in Medicare Severity Diagnosis-Related Groups (MS-DRGs) and inpatient billing practices, and the ability to lead complex engagements while developing junior staff in a highly leveraged consulting model. This role is central to supporting BDO's continued expansion in large-scale disputes where clinical, coding, and financial issues intersect.
Job Duties:
  • Serves as a testifying expert in healthcare litigation matters, including depositions, trial testimony, arbitration proceedings, and other dispute forums
  • Develops and defends expert opinions related to DRG assignment and validation, medical necessity and inpatient admission criteria, coding accuracy, CMS and payer-specific guidelines, bundling, downcoding, reimbursement methodologies, and payment integrity
  • Leads end-to-end engagement delivery for healthcare litigation, arbitration, payer/provider disputes, forensic, reimbursement, payment integrity, compliance, and operational consulting engagements
  • Develops engagement scope, analytical approach, methodologies, data requirements, analysis design, quality control processes, and report preparation workplans
  • Provides subject matter leadership on MS-DRG classification systems, grouper logic, ICD-10-CM/PCS coding frameworks, Medicare IPPS rules, CMS regulatory guidance, and commercial payer reimbursement policies impacting inpatient claims
  • Oversees large-scale data-driven analyses of hospital claims, payment patterns, coding outcomes, DRG validation findings, inpatient billing practices, medical necessity issues, and reimbursement impact
  • Evaluates and develops methodologies to assess theories of harm in payer/provider disputes and translates coding, clinical, and reimbursement issues into quantifiable, defensible analyses
  • Authors and supports clear, defensible expert reports, expert analyses, presentations, and client deliverables, and prepares to withstand cross-examination or other legal challenges
  • Works closely with counsel, health systems, payers, healthcare executives, analytics teams, and internal stakeholders in privilege-aware, deadline-driven litigation environments
  • Simplifies complex coding, reimbursement, medical necessity, data, and regulatory concepts for legal counsel, executives, triers of fact, and other non-technical audiences
  • Manages multiple concurrent engagements with tight and overlapping deadlines, including staffing, workflow discipline, quality control, risk management, and margin/realization awareness
  • Collaborates with leadership on business development efforts, including proposal development, client presentations, expert positioning, expansion of existing relationships, identification of new service offerings, and market opportunities
  • Builds and maintains relationships with law firms, health systems, payers, and other healthcare clients, and supports BDO's positioning as a trusted advisor in healthcare disputes, forensic analysis, and expert testimony
  • Monitors and implements industry trends, legal and regulatory developments, coding and reimbursement guidance, and best practices; creates a positive, collaborative, accountable, and team-focused environment
  • Other duties as required

Supervisory Responsibilities:
  • Supervises projects, often multiple concurrent projects, in healthcare litigation, arbitration, forensic, reimbursement, DRG validation, payment integrity, compliance, and operational consulting engagements
  • Operates within BDO's leveraged delivery model by effectively assigning, delegating to, managing, coaching, and developing Managers, Senior Associates, and Associates
  • Provides technical oversight and quality control across engagement teams, including review of coding analyses, reimbursement methodologies, data-driven findings, expert report support, and client deliverables
  • Mentors and trains junior staff on coding and reimbursement fundamentals, DRG/inpatient concepts, analytical methodologies, litigation support best practices, report support, documentation, and defensible work product development
  • Acts as Career Advisor to Managers, Senior Associates, and Associates, providing ongoing coaching, performance feedback, and career development support
  • Evaluates the performance of Managers, Senior Associates, and Associates and assists in the development of goals and objectives to enhance professional development

Qualifications, Knowledge, Skills, and Abilities:
Education
  • Bachelor's degree, required
  • Advanced degree such as MD, RN, JD, MPH, MBA, MHA, or related healthcare, clinical, legal, or business degree, preferred

Experience
  • Ten (10) to fifteen (15) or more years of experience in healthcare reimbursement, coding, payment integrity, healthcare forensics, litigation support, disputes, or related advisory services, required
  • Demonstrated experience serving as a testifying expert in healthcare litigation, arbitration, disputes, or related proceedings, including deposition, trial, arbitration, or expert report experience, required
  • Deep expertise in hospital inpatient reimbursement systems, MS-DRGs, DRG validation audits, ICD-10-CM/PCS coding standards, inpatient billing practices, coding compliance frameworks, and reimbursement impact analysis, required
  • Strong understanding of CMS regulations and guidance, including IPPS rules, Medicare claims processing, medical necessity, inpatient admission criteria, and commercial payer policies affecting inpatient reimbursement, required
  • Experience leading complex, data-intensive engagements and working with analytics teams to ensure methodologies, samples, findings, and workpapers are defensible and reproducible, required
  • Proven ability to author expert reports, develop expert opinions, communicate with counsel, and withstand cross-examination or other legal challenges, required
  • Proven experience managing complex projects, cross-functional teams, and multiple priorities in fast-paced, deadline-driven litigation or consulting environments, required
  • Demonstrated ability to delegate effectively, provide quality control, and develop junior staff within a leveraged consulting model, required
  • Strong written and verbal communication skills, including client-facing deliverables, expert reports, testimony, and presentations, required
  • Prior experience with litigation consulting firms, healthcare disputes groups, expert witness practices, payment integrity organizations, DRG audit vendors, health systems, payers, or advisory practices, preferred
  • Experience with large-scale provider/payer disputes, DRG validation, coding audits, medical necessity disputes, reimbursement disputes, denial/appeal mechanics, and inpatient claims analyses, preferred
  • Existing relationships with law firms, health systems, payers, or healthcare clients and demonstrated ability to support business development, expert positioning, client presentations, and proposal efforts, preferred
  • Experience supervising and developing high-performing consulting teams, coders, analysts, and other professionals, preferred

License/Certification
  • Professional coding or health information certification such as CCS, CPC, RHIT, RHIA, or similar credential, required
  • Additional clinical, healthcare compliance, fraud examination, data analytics, accounting, reimbursement, or project management credentials, preferred

Software
  • Proficient in Microsoft Excel, Word, and PowerPoint, required
  • Experience leveraging data analytic tools to analyze claims, DRG assignment, payment patterns, reimbursement, inpatient utilization, coding, documentation, medical necessity, payment integrity, and potentially improper transactions, preferred
  • Experience overseeing large-scale data analyses, analytical workflows, sampling, financial models, and expert report support, preferred

Language
  • N/A

Other Knowledge, Skills & Abilities
  • Credible expert presence with the ability to command authority in legal settings while maintaining composure, clarity, and defensibility under challenge
  • Ability to identify opportunities for new engagements and expand existing service offerings
  • Strong project management and engagement leadership skills, including the ability to lead complex workstreams from scope through delivery
  • Strong analytical, critical thinking, writing, presentation, and problem-solving skills with exceptional attention to detail
  • Ability to simplify complex technical issues involving DRG coding, inpatient reimbursement, medical necessity, CMS guidance, payer policy, data analytics, and regulatory requirements for legal and executive audiences
  • Ability to build repeatable methodologies, analytical frameworks, quality assurance processes, and defensible approaches that can be taught and scaled
  • Strong business development and commercial mindset through relationships, proposal development, client presentations, expert positioning, account expansion, staffing efficiency, and realization discipline
  • Strong leadership and team management capability within a leveraged consulting environment, including the ability to delegate effectively and develop junior staff
  • Self-starter with the ability to multi-task while working independently or within a group environment
  • Strong delivery focus with the ability to balance multiple priorities in a fast-paced, deadline-driven environment with overlapping deadlines
  • Excellent verbal and written communication skills, including the ability to distill complex issues for diverse audiences
  • Solid organizational skills with the ability to meet project deadlines and maintain workflow discipline across concurrent engagements
  • Ability to interact effectively with people at all organizational levels of the firm, clients, counsel, healthcare executives, and other stakeholders
  • Capacity to build and maintain strong relationships with internal and client personnel
  • Ability to encourage a collaborative, accountable, and high-performing team environment and contribute to the professional development of assigned personnel
  • Proactive, adaptable, and capable of driving both execution and strategy

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: $160,000 - $260,000
Maryland Range: $160,000 - $260,000
NYC/Long Island/Westchester Range: $160,000 - $260,000
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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