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Paper · arXiv

Symphony for Medical Coding: A Next-Generation Agentic System for Scalable and Explainable Medical Coding

Medical coding translates free-text clinical documentation into standardized codes drawn from classification systems that contain tens of thousands of entries and are updated annually. It is central to billing, clinical research, and quality reporting, yet remains largely manual, slow, and error-prone. Existing automated approaches learn to predict a fixed set of codes from labeled data, thereby preventing adaptation to new codes or different coding systems without retraining on different data. They also provide no explanation for their predictions, limiting trust in safety-critical settings. We introduce Symphony for Medical Coding, a system that approaches the task the way expert human ...

AuthorsJoakim Edin, Andreas Motzfeldt, Simon Flachs et al.
Primary categorycs.AI
Published31 March 2026
Last updated at source31 March 2026
cs.AIcs.LG
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