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Automatic medical coding has the potential to ease documentation and billing processes. For this task, transparency plays an important role for medical coders and regulatory bodies, which can be achieved using explainability methods.…

Computation and Language · Computer Science 2025-07-03 Katharina Beckh , Elisa Studeny , Sujan Sai Gannamaneni , Dario Antweiler , Stefan Rüping

Large language models with reasoning capabilities have demonstrated impressive performance across a wide range of domains. In clinical applications, a transparent, step-by-step reasoning process provides physicians with strong evidence to…

Artificial Intelligence · Computer Science 2025-12-16 Linjie Mu , Yannian Gu , Zhongzhen Huang , Yakun Zhu , Shaoting Zhang , Xiaofan Zhang

Clinical notes are assigned ICD codes - sets of codes for diagnoses and procedures. In the recent years, predictive machine learning models have been built for automatic ICD coding. However, there is a lack of widely accepted benchmarks for…

Artificial Intelligence · Computer Science 2023-04-28 Thanh-Tung Nguyen , Viktor Schlegel , Abhinav Kashyap , Stefan Winkler , Shao-Syuan Huang , Jie-Jyun Liu , Chih-Jen Lin

A ubiquitous task in processing electronic medical data is the assignment of standardized codes representing diagnoses and/or procedures to free-text documents such as medical reports. This is a difficult natural language processing task…

Medical coding is the task of assigning medical codes to clinical free-text documentation. Healthcare professionals manually assign such codes to track patient diagnoses and treatments. Automated medical coding can considerably alleviate…

Machine Learning · Computer Science 2023-04-24 Joakim Edin , Alexander Junge , Jakob D. Havtorn , Lasse Borgholt , Maria Maistro , Tuukka Ruotsalo , Lars Maaløe

The task of automatically coding the International Classification of Diseases (ICD) in the medical field has been well-established and has received much attention. Automatic coding of the ICD in the medical field has been successful in…

Computation and Language · Computer Science 2026-03-11 Xinxin You , Xien Liu , Xue Yang , Ziyi Wang , Ji Wu

Automatic ICD coding, the task of assigning disease and procedure codes to electronic medical records, is crucial for clinical documentation and billing. While existing methods primarily enhance model understanding of code hierarchies and…

Computation and Language · Computer Science 2025-11-11 Tuan-Dung Le , Shohreh Haddadan , Thanh Q. Thieu

Prediction of medical codes from clinical notes is both a practical and essential need for every healthcare delivery organization within current medical systems. Automating annotation will save significant time and excessive effort spent by…

Computation and Language · Computer Science 2021-07-23 Byung-Hak Kim , Varun Ganapathi

The International Classification of Diseases (ICD) is an authoritative medical classification system of different diseases and conditions for clinical and management purposes. ICD indexing assigns a subset of ICD codes to a medical record.…

Computation and Language · Computer Science 2024-05-30 Xindi Wang , Robert E. Mercer , Frank Rudzicz

Healthcare providers usually record detailed notes of the clinical care delivered to each patient for clinical, research, and billing purposes. Due to the unstructured nature of these narratives, providers employ dedicated staff to assign…

Computation and Language · Computer Science 2022-08-03 Chufan Gao , Mononito Goswami , Jieshi Chen , Artur Dubrawski

Background and Objective: Code assignment is of paramount importance in many levels in modern hospitals, from ensuring accurate billing process to creating a valid record of patient care history. However, the coding process is tedious and…

Computation and Language · Computer Science 2019-10-03 Jinmiao Huang , Cesar Osorio , Luke Wicent Sy

Clinical notes in healthcare facilities are tagged with the International Classification of Diseases (ICD) code; a list of classification codes for medical diagnoses and procedures. ICD coding is a challenging multilabel text classification…

Computation and Language · Computer Science 2023-06-02 Thanh-Tung Nguyen , Viktor Schlegel , Abhinav Kashyap , Stefan Winkler

Continuity of care is crucial to ensuring positive health outcomes for patients discharged from an inpatient hospital setting, and improved information sharing can help. To share information, caregivers write discharge notes containing…

Computation and Language · Computer Science 2021-06-07 James Mullenbach , Yada Pruksachatkun , Sean Adler , Jennifer Seale , Jordan Swartz , T. Greg McKelvey , Hui Dai , Yi Yang , David Sontag

Clinical notes are unstructured text generated by clinicians during patient encounters. Clinical notes are usually accompanied by a set of metadata codes from the International Classification of Diseases(ICD). ICD code is an important code…

Artificial Intelligence · Computer Science 2021-11-12 Tak-Sung Heo , Yongmin Yoo , Yeongjoon Park , Byeong-Cheol Jo , Kyungsun Kim

Medical coding translates professionally written medical reports into standardized codes, which is an essential part of medical information systems and health insurance reimbursement. Manual coding by trained human coders is time-consuming…

Computation and Language · Computer Science 2021-09-27 Wei Sun , Shaoxiong Ji , Erik Cambria , Pekka Marttinen

Remarkable success has been achieved in the last few years on some limited machine reading comprehension (MRC) tasks. However, it is still difficult to interpret the predictions of existing MRC models. In this paper, we focus on extracting…

Computation and Language · Computer Science 2019-09-25 Hai Wang , Dian Yu , Kai Sun , Jianshu Chen , Dong Yu , David McAllester , Dan Roth

In the United States, 25% or greater than 200 billion dollars of hospital spending accounts for administrative costs that involve services for medical coding and billing. With the increasing number of patient records, manual assignment of…

Computation and Language · Computer Science 2020-03-18 A. K. Bhavani Singh , Mounika Guntu , Ananth Reddy Bhimireddy , Judy W. Gichoya , Saptarshi Purkayastha

International Classification of Disease (ICD) coding procedure which refers to tagging medical notes with diagnosis codes has been shown to be effective and crucial to the billing system in medical sector. Currently, ICD codes are assigned…

Computation and Language · Computer Science 2021-04-22 Biplob Biswas , Thai-Hoang Pham , Ping Zhang

International Classification of Diseases (ICD) is a global medical classification system which provides unique codes for diagnoses and procedures appropriate to a patient's clinical record. However, manual coding by human coders is…

Machine Learning · Computer Science 2022-11-17 Daeseong Kim , Haanju Yoo , Sewon Kim

Automatic ICD coding from clinical text is a critical task in medical NLP but remains hindered by the extreme long-tail distribution of diagnostic codes. Thousands of rare and zero-shot ICD codes are severely underrepresented in datasets…

Computation and Language · Computer Science 2025-11-19 Truong Vo , Weiyi Wu , Kaize Ding
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