@inproceedings{wang-etal-2024-multi,
    title = "Multi-stage Retrieve and Re-rank Model for Automatic Medical Coding Recommendation",
    author = "Wang, Xindi  and
      Mercer, Robert  and
      Rudzicz, Frank",
    editor = "Duh, Kevin  and
      Gomez, Helena  and
      Bethard, Steven",
    booktitle = "Proceedings of the 2024 Conference of the North American Chapter of the Association for Computational Linguistics: Human Language Technologies (Volume 1: Long Papers)",
    month = jun,
    year = "2024",
    address = "Mexico City, Mexico",
    publisher = "Association for Computational Linguistics",
    url = "https://preview.aclanthology.org/add-emnlp-2024-awards/2024.naacl-long.273/",
    doi = "10.18653/v1/2024.naacl-long.273",
    pages = "4881--4891",
    abstract = "The International Classification of Diseases (ICD) serves as a definitive medical classification system encompassing a wide range of diseases and conditions. The primary objective of ICD indexing is to allocate a subset of ICD codes to a medical record, which facilitates standardized documentation and management of various health conditions. Most existing approaches have suffered from selecting the proper label subsets from an extremely large ICD collection with a heavy long-tailed label distribution. In this paper, we leverage a multi-stage {\textquotedblleft}retrieve and re-rank{\textquotedblright} framework as a novel solution to ICD indexing, via a hybrid discrete retrieval method, and re-rank retrieved candidates with contrastive learning that allows the model to make more accurate predictions from a simplified label space. The retrieval model is a hybrid of auxiliary knowledge of the electronic health records (EHR) and a discrete retrieval method (BM25), which efficiently collects high-quality candidates. In the last stage, we propose a label co-occurrence guided contrastive re-ranking model, which re-ranks the candidate labels by pulling together the clinical notes with positive ICD codes. Experimental results show the proposed method achieves state-of-the-art performance on a number of measures on the MIMIC-III benchmark."
}