arXiv AI By Meysam Ghaffari, Bhaskar Sen, Nasim Sabetpour, Nina Fatehi, Animesh Agarwal, Carlos Morato

LearnActCoder: Role-Aware Error Memory for Adaptive Clinical Coding Agents

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LearnActCoder introduces a role‑aware error memory system for clinical coding agents, converting labeled errors into a structured Mistake Knowledge Database (MistakeKDB). The framework routes false‑negative lessons to a recall‑oriented coder and false‑positive lessons to a precision‑oriented judge, forming a Coder‑Judge pipeline. On MIMIC‑III and MIMIC‑IV datasets, the MistakeKDB improves CPT F1 by 5.9 percentage points and shifts ICD‑10 coding toward higher precision, while maintaining stable performance on held‑out notes.

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