Challenge: Recent work on automated ICD coding learn mappings between low-dimensional representations of clinical text reports and codes.
Approach: They propose novel neural networks for encoding medical codes based on textual, structural and statistical characteristics using a single deep learning baseline model.
Outcome: The proposed methods improve the accuracy of medical codes based on their textual, structural and statistical characteristics.

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Challenge: Existing approaches to assigning ICD codes to clinical text are time-consuming, labor intensive, and error-prone.
Approach: They propose to adapt a Transformer-based model to a longformer model and use it to encode clinical narratives.
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Automatic ICD Coding Exploiting Discourse Structure and Reconciled Code Embeddings (2022.coling-1)

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Challenge: Existing studies did not exploit the discourse structure of clinical notes, which provides rich contextual information for code assignment.
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Aligning AI Research with the Needs of Clinical Coding Workflows: Eight Recommendations Based on US Data Analysis and Critical Review (2025.acl-long)

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Challenge: Clinical coding is labour-intensive and error-prone, which has motivated research towards full automation of the process.
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Comparing the Intrinsic Performance of Clinical Concept Embeddings by Their Field of Medicine (D19-62)

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Challenge: Existing work has trained medical embeddings to rep-resent medical concepts using specific medical data.
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Less is More: Explainable and Efficient ICD Code Prediction with Clinical Entities (2025.acl-long)

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Challenge: Clinical coding is labor-intensive and prone to delays, leading to global backlogs.
Approach: They propose an approach that combines Named Entity Recognition (NER) and Assertion Classification (AC) to filter for clinically important content before supervised code prediction.
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Distributed Knowledge Based Clinical Auto-Coding System (P19-2)

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Challenge: Codification of free-text clinical narratives has long been recognised to be beneficial for secondary uses such as funding, insurance claim processing and research.
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Modelling Temporal Document Sequences for Clinical ICD Coding (2023.eacl-main)

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Challenge: Existing studies on the ICD coding task focus on extracting codes from the discharge summary, but there is potential to automate the task by identifying relevant information from clinical notes.
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MedCodER: A Generative AI Assistant for Medical Coding (2025.naacl-industry)

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Challenge: Medical coding is time-consuming and error-prone due to large label space, lengthy text inputs, and the absence of supporting evidence annotations.
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Embedding Strategies for Specialized Domains: Application to Clinical Entity Recognition (P19-2)

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Challenge: Off-the-shelf word embeddings tend to perform poorly on texts from specialized domains such as clinical reports.
Approach: They combine off-the-shelf contextual embeddings with static word2vec embedders trained on a small in-domain corpus built from task data to reach and sometimes outperform representations learned from a large corpus in the medical domain.
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A Neural Architecture for Automated ICD Coding (P18-1)

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Challenge: Medical coding is time-consuming, expensive, and error prone.
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