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Record W4415313935 · doi:10.63332/joph.v5i10.3554

Causes and Consequences of Medical Coding Errors: A Systematic Review of the Literature

2025· article· W4415313935 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueJournal of Posthumanism · 2025
Typearticle
Language
FieldHealth Professions
TopicMedical Coding and Health Information
Canadian institutionsInnovation Cluster (Canada)
Fundersnot available
KeywordsFlowchartCoding (social sciences)Medical classificationHealth careSystematic reviewQuality (philosophy)Medical literatureProcess (computing)

Abstract

fetched live from OpenAlex

Medical coding is necessary for proper record-keeping, billing, and managing health data, yet errors are still common because of organization, employees or staff and technology. These mistakes can have major effects on finances, patients and administration, which show how important it is to look into them in a comprehensive way. The objective of the research is to examine the causes and consequences of medical coding errors within the healthcare centers. Thorough A search of databases including Scopus, PsycINFO, and Web of Science to find and systematize studies that was published between 2020 and 2024. The criteria for inclusion in this research were English-language sources obtained from the specified search engines. The chosen research must also provide valuable insights into team dynamics and utilize established measuring scales. After an initial screening and quality assessment, Eleven studies were incorporated into the synthesis. On the basis of result, electronic databases to search the study database and found 34345 records. Eleven distinct records were evaluated for eligibility based on their titles and abstracts. Eleven studies were chosen for full-text review after the first screening. Eleven studies matched the criteria after an independent review and were included in the systematic review. The chosen investigations were carried out from 2020 to 2024 and exhibited diverse methodologies. The PRISMA flowchart shows how the selecting process works. Peer-reviewed journals, overall assessment, and quality management are all parts of quality evaluation. Findings revealed that medical coding errors arise from human, organizational, and technological factors, with serious consequences for patients, providers, and healthcare systems. Accurate coding is essential to safeguard patient safety, financial stability, and reliable health data for policymaking. Strengthening training, auditing, and technology integration can reduce errors and enhance healthcare quality, particularly within the Saudi Arabian context..

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.012
metaresearch head score (Gemma)0.013
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: Systematic review
GenreCandidate signal: Review · Consensus signal: none
Teacher disagreement score0.691
Threshold uncertainty score0.995

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0120.013
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0020.000
Bibliometrics0.0000.000
Science and technology studies0.0000.001
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0000.002
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.131
GPT teacher head0.451
Teacher spread0.320 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it