LearnActCoder: Role-Aware Error Memory for Adaptive Clinical Coding Agents
Quick summary
arXiv:2609.19721v1 Announce Type: new Abstract: Clinical coding agents repeatedly encounter the same failure modes, including unsupported codes, missed documented conditions, specificity errors, and procedure-coding convention mismatches. We introduce Learn-Then-Act, an inference-time adaptation framework that converts errors from a small labeled LEARN batch into a structured Mistake Knowledge Database (MistakeKDB). False-negative lessons are routed to a recall-oriented Coder, while false-positive lessons are routed to a precision-oriented Judge. We instantiate the framework in LearnActCoder,
Key takeaways
- arXiv:2609.19721v1 Announce Type: new Abstract: Clinical coding agents repeatedly encounter the same failure modes, including unsupported codes, missed documented conditions, specificity errors, and procedure-coding convention mismatches.
- We introduce Learn-Then-Act, an inference-time adaptation framework that converts errors from a small labeled LEARN batch into a structured Mistake Knowledge Database (MistakeKDB).
- False-negative lessons are routed to a recall-oriented Coder, while false-positive lessons are routed to a precision-oriented Judge.
Why it matters
The importance of “LearnActCoder: Role-Aware Error Memory for Adaptive Clinical Coding Agents” will be measured by what changes in practice. User behavior, access conditions, verifiable performance and responsible-use outcomes are the signals worth following.

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