Challenge: Existing methods for ICD indexing use machine learning to assign subset of codes to medical records . experimental results show proposed method achieves state-of-the-art performance on a number of measures.
Approach: They propose a method that uses a deep dilated residual convolution encoder to learn document representations across different lengths of the texts.
Outcome: The proposed method achieves state-of-the-art performance on a number of measures.

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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.
Approach: They propose to use diagnosis descriptions (DDs) of a patient as inputs to select the most relevant ICD codes.
Outcome: The proposed algorithms perform on a clinical dataset with 59K patient visits.
Accurate and Well-Calibrated ICD Code Assignment Through Attention Over Diverse Label Embeddings (2024.eacl-long)

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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.
Outcome: The proposed approach outperforms current state-of-the-art models in ICD coding with the label embeddings contributing to the good performance.
Fusion: Towards Automated ICD Coding via Feature Compression (2021.findings-acl)

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Challenge: Existing methods to assign ICD codes from unstructured clinical notes are noisy and prone to errors.
Approach: They propose a feature compressed ICD coding model called Fusion to address this problem.
Outcome: The proposed model outperforms existing models on two widely used datasets.
Multi-stage Retrieve and Re-rank Model for Automatic Medical Coding Recommendation (2024.naacl-long)

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Challenge: Existing methods for ICD indexing have a heavy label distribution and a manual process . Xie and Xing (2017) propose a new approach to ICD re-ranking .
Approach: They propose a "retrieve and re-rank" framework to allocate subsets of ICD codes to medical records . they leverage auxiliary knowledge of the electronic health records (EHR) and a discrete retrieval method .
Outcome: The proposed method achieves state-of-the-art performance on the MIMIC-III benchmark.
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.
Approach: They propose to leverage section type classification and section type embeddings to exploit the discourse structure of clinical notes to generate rich contextual information for code assignment.
Outcome: The proposed model outperforms state-of-the-art models on a MIMIC dataset by a large margin.
Scalable Wide and Deep Learning for Computer Assisted Coding (N18-3)

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Challenge: In recent years the use of electronic medical records has accelerated resulting in large volumes of medical data when a patient visits a healthcare facility.
Approach: They propose to use convolutional neural networks and logistic regression to build a machine learning based system for predicting ICD-10 codes from electronic medical records.
Outcome: The proposed system can predict ICD-10 codes from electronic medical records using convolutional neural networks and logistic regression models.
A Two-Stage Decoder for Efficient ICD Coding (2023.findings-acl)

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Challenge: Recent automated ICD coding efforts improve performance by encoding medical notes and codes with additional data and knowledge bases.
Approach: They propose a two-stage decoding mechanism to predict ICD codes using hierarchical properties of the codes to split the prediction into two steps: at first, predict the parent code and then predict the child code based on the previous prediction.
Outcome: Experiments on the public MIMIC-III data show that the proposed model performs well in single-model settings without external data or knowledge.
A General Knowledge Injection Framework for ICD Coding (2025.findings-acl)

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Challenge: Existing methods to improve ICD coding focus on a single type of knowledge and design specialized modules that are complex and incompatible with each other.
Approach: They propose a general knowledge injection framework that integrates three key types of knowledge without specialized design of additional modules.
Outcome: The proposed framework outperforms baseline models and is comparable to models relying on extra human annotations.
HyperCore: Hyperbolic and Co-graph Representation for Automatic ICD Coding (2020.acl-main)

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Challenge: Existing methods for ICD coding ignore Code Hierarchy and Code Co-occurrence . cost of manual coding estimated to be $25 billion per year in the US .
Approach: They propose a hyperbolic representation method to leverage the code hierarchy and a graph convolutional network to utilize the code co-occurrence.
Outcome: The proposed model outperforms state-of-the-art methods on two widely used datasets.
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.
Approach: They propose a Generative AI framework for automatic medical coding that leverages extraction, retrieval, and re-ranking techniques as core components.
Outcome: The proposed framework outperforms existing methods on the International Classification of Diseases (ICD) code prediction scale.

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