Schedule a Free Demo

Can ChatGPT be used for medical coding?

ChatGPT medical coding

The dynamism in the healthcare industry is unprecedented. The highly skilled medical coders are the backbone of the healthcare industry and play a pivotal role in facilitating effective communication between healthcare providers, payers, and researchers. Now, with the advent of AI and innovative tools like ChatGPT, medical coders are indeed getting a helping hand. Though, their role still can’t be replaced.

“While ChatGPT is a powerful language model developed by OpenAI, it cannot be used as an autonomous medical coding tool.”

So, let’s explore some of the ways in which medical coders can leverage ChatGPT.

The Role of medical coders

Medical coders are professionals who specialize in assigning the appropriate codes to diagnoses, procedures, and treatments based on medical records. They possess extensive knowledge of medical terminology, coding guidelines, and regulatory requirements. Medical coders ensure accurate and standardized documentation, enabling effective communication between healthcare providers, insurance companies, and government agencies.

The power of ChatGPT

The emergence of this sophisticated language model developed by Open AI leverages deep learning algorithms. It has been trained for vast amounts of text data and has the potential to generate coherent responses.

How can coders use ChatGPT in medical coding tasks?

Below are a few ways you can utilize ChatGPT:

Code Research Assistance: ChatGPT can assist in searching for relevant codes based on provided descriptions or keywords. You can describe a medical procedure or diagnosis, and ChatGPT can offer suggestions for potential corresponding codes.

Clarifying Coding Guidelines: ChatGPT can provide general information and explanations about coding guidelines, helping to clarify doubts or provide initial guidance. 

Continuous Learning and Updates:

Although, ChatGPT is not trained directly with the latest medical coding guidelines, regulations, and industry changes, using publicly available data it can suggest ICD-10 codes. This capability ensures that medical coders have access to up-to-date information and can stay abreast.

Decision Support and Verification:

Medical coders can input complex cases or specific coding queries into the ChatGPT to obtain additional insights into their coding choices. This collaboration enhances accuracy and minimizes coding errors.

Continuous Professional Development:

ChatGPT can be utilized as a tool for continuous professional development. Medical coders can explore coding concepts, guidelines, and industry updates.

However, there are some potential drawbacks to using ChatGPT for medical coding. No matter how much accuracy it brings into the system, it can still make mistakes in identifying codes. Additionally, Open AI may not be able to handle more complex coding tasks as it requires a deeper understanding of medical terminologies. Rather than viewing Chat GPT as a replacement for medical coders, it is more prudent to see it as a powerful tool that can augment and assist their work.

So, Will ChatGPT replace human coders? which is better: Medical coders vs ChatGPT? Can ChatGPT used as an autonomous medical coding tool?

The answer is not straightforward. While ChatGPT is a powerful language model developed by OpenAI, it cannot be used as an autonomous medical coding tool. This is because ChatGPT can only answer your questions based on its knowledge database. As the ChatGPT’s AI Model is not trained on real data, it will not know the relationship between the codes.  

ChatGPT cannot replace human coders. Medical coding requires a deep understanding of medical terminology and procedures, as well as the ability to make judgment calls when necessary. Human coders are better equipped to handle these tasks, while ChatGPT can be used to supplement their work.

There are several reasons for this limitation:

  1. Lack of specialized medical knowledge: ChatGPT does not possess domain-specific expertise in medical coding. It has been trained on a wide range of general knowledge topics, but it does not have access to the most up-to-date medical coding guidelines, regulations, or industry-specific information required for accurate coding.
  2. Limited access to real-time patient data: Autonomous medical coding systems typically rely on real-time patient data, such as electronic health records and physician notes, to assign accurate codes. ChatGPT does not have access to patient-specific data or the ability to interact with live medical systems, making it unsuitable for autonomous medical coding.
  3. Risk of errors and legal implications: Medical coding requires precise and accurate coding decisions, as errors can lead to incorrect billing, potential legal issues, and compromised patient care. ChatGPT, while proficient in generating text, is still susceptible to errors and may not provide the level of accuracy and reliability required in medical coding.
  4. Lack of interpretability and transparency: Autonomous medical coding systems can explain the rationale behind their coding decisions. ChatGPT’s decision-making process is based on complex algorithms and neural networks, which are difficult to interpret and explain. This lack of transparency makes it challenging to trust and validate the coding decisions made by ChatGPT.
  5. Also, ChatGPT, as a text-based AI language model, is not directly integrated with OCR (Optical Character Recognition) technology. AI medical coding tools use OCR to read physicians’ notes. While ChatGPT can process and generate text, it does not have built-in OCR capabilities.

The drawbacks of ChatGPT, however, are that it is still a fairly new technology and has not been thoroughly evaluated in the healthcare sector. To effectively code medical documentation, ChatGPT may need a large amount of training data, which could be a constraint.

This is where MEDICODIO’s AI-powered medical coding tool shines as it is trained on a wide variety of data and specialties.

MEDICODIO provides an advanced technology that harnesses artificial intelligence algorithms to automate the medical coding process. By analyzing medical records, extracting pertinent information, and assigning appropriate medical codes, this technology reduces the chances of human error and enhances coding precision. It utilizes patient demographic data from EHR systems and extracts information from Physician Notes/charts to suggest medical codes such as CPT, ICD-10, HCPCS, and modifiers. This efficient approach enables a significant improvement of 45% in coding efficiency

Share via: 

What are you waiting for?

Get in touch with us or schedule a free guided DEMO!

Most popular articles

Explore our insightful blogs and discover the most popular articles on AI medical coding and RCM to stay ahead of the curve.

Contact Us

Whether you’re curious about our products, features, a free trial—we’re happy to answer all your questions.