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In medical coding, experts map unstructured clinical notes to alphanumeric codes for diagnoses and procedures. We introduce Code Like Humans: a new agentic framework for medical coding with large language models. It implements official…

Artificial Intelligence · Computer Science 2025-10-09 Andreas Motzfeldt , Joakim Edin , Casper L. Christensen , Christian Hardmeier , Lars Maaløe , Anna Rogers

This paper aims to provide an approach for automatic coding of physician-patient communication transcripts to improve patient-centered communication (PCC). PCC is a central part of high-quality health care. To improve PCC, dialogues between…

Computation and Language · Computer Science 2021-09-23 Gilchan Park , Julia Taylor Rayz , Cleveland G. Shields

Large scale veterinary clinical records can become a powerful resource for patient care and research. However, clinicians lack the time and resource to annotate patient records with standard medical diagnostic codes and most veterinary…

Computation and Language · Computer Science 2018-09-05 Allen Nie , Ashley Zehnder , Rodney L. Page , Arturo L. Pineda , Manuel A. Rivas , Carlos D. Bustamante , James Zou

Outcome prediction from clinical text can prevent doctors from overlooking possible risks and help hospitals to plan capacities. We simulate patients at admission time, when decision support can be especially valuable, and contribute a…

Computation and Language · Computer Science 2021-02-09 Betty van Aken , Jens-Michalis Papaioannou , Manuel Mayrdorfer , Klemens Budde , Felix A. Gers , Alexander Löser

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

Clinical notes contain unstructured text provided by clinicians during patient encounters. These notes are usually accompanied by a sequence of diagnostic codes following the International Classification of Diseases (ICD). Correctly…

Machine Learning · Computer Science 2025-10-17 Mohammad Mansoori , Amira Soliman , Farzaneh Etminani

The vast majority of research in computer assisted medical coding focuses on coding at the document level, but a substantial proportion of medical coding in the real world involves coding at the level of clinical encounters, each of which…

Computation and Language · Computer Science 2019-11-19 Han-Chin Shing , Guoli Wang , Philip Resnik

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

The translation of medical diagnosis to clinical coding has wide range of applications in billing, aetiology analysis, and auditing. Currently, coding is a manual effort while the automation of such task is not straight forward. Among the…

Accurate clinical coding is essential for healthcare documentation, billing, and decision-making. While prior work shows that off-the-shelf LLMs struggle with this task, evaluations based on exact match metrics often overlook errors where…

Computation and Language · Computer Science 2025-10-10 Zhangdie Yuan , Han-Chin Shing , Mitch Strong , Chaitanya Shivade

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

Mapping clinical documents to standardised clinical vocabularies is an important task, as it provides structured data for information retrieval and analysis, which is essential to clinical research, hospital administration and improving…

Computation and Language · Computer Science 2025-09-15 Mingyang Li , Viktor Schlegel , Tingting Mu , Warren Del-Pinto , Goran Nenadic

Coding morbidity data using international standard diagnostic classifications is increasingly important and still challenging. Clinical coders and physicians assign codes to patient episodes based on their interpretation of case notes or…

Other Computer Science · Computer Science 2025-03-10 Elena Cardillo , Lucilla Frattura

The clinical notes are usually typed into the system by physicians. They are typically required to be marked by standard medical codes, and each code represents a diagnosis or medical treatment procedure. Annotating these notes is time…

Machine Learning · Computer Science 2023-05-10 Guodong Liu

Diagnostic or procedural coding of clinical notes aims to derive a coded summary of disease-related information about patients. Such coding is usually done manually in hospitals but could potentially be automated to improve the efficiency…

Computation and Language · Computer Science 2021-07-20 Hang Dong , Víctor Suárez-Paniagua , William Whiteley , Honghan Wu

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

Coding diagnosis and procedures in medical records is a crucial process in the healthcare industry, which includes the creation of accurate billings, receiving reimbursements from payers, and creating standardized patient care records. In…

Computation and Language · Computer Science 2020-01-01 Siddhartha Nuthakki , Sunil Neela , Judy W. Gichoya , Saptarshi Purkayastha

Clinical interactions are initially recorded and documented in free text medical notes. ICD coding is the task of classifying and coding all diagnoses, symptoms and procedures associated with a patient's visit. The process is often manual…

Information Retrieval · Computer Science 2020-06-09 Zachariah Zhang , Jingshu Liu , Narges Razavian

Clinicians often face workflow problems that are perceived as either too bespoke or low stakes to attract commercial attention. Historically, most do not have the technical knowledge to address these problems, but the recent emergence of…

Human-Computer Interaction · Computer Science 2026-04-28 Ariel Yuhan Ong , Iain Livingstone , Caroline Kilduff , Mertcan Sevgi , David A Merle , Eden Ruffell , Pearse A Keane , Fares Antaki

Developing AI models that are useful in clinical practice, requires efficient collaboration between clinicians and AI developers. This poses a practical challenge: clinicians must repeatedly communicate and refine their requirements with AI…

Computer Vision and Pattern Recognition · Computer Science 2026-05-28 Zihao Zhao , Frederik Hauke , Juliana De Castilhos , Mathis Bode , Jakob Nikolas Kather , Sven Nebelung , Daniel Truhn