* Elected official

* Usually a layperson (may have some medical training)

* Investigates deaths to determine cause and manner of death

* May order an autopsy

* Issues death certificates

Medical Examiner

* Appointed official

* Must be a physician

* Investigates deaths to determine cause and manner of death

* Performs autopsies

* Issues death certificates

The main difference between a coroner and a medical examiner is that a medical examiner is a physician who has undergone specialized training in forensic pathology, while a coroner is not necessarily a medical professional.

In some jurisdictions, the coroner is also responsible for issuing death certificates, while in other jurisdictions, this is the responsibility of the medical examiner. Additionally, the coroner may also be responsible for investigating deaths that are suspected to be criminal in nature, while the medical examiner is responsible for investigating all deaths.

The role of the coroner or medical examiner is important because it helps to ensure that accurate information is available about the cause and manner of death. This information is essential for public health purposes, as well as for legal proceedings.