Systems and methods provide confirmation of accuracy of determining medical codes for medical records. The technology may include processor control instructions or steps for establishing a collection of medical documents as a test sample and for determining a convergence of assigned medical codes for the sample that have been assigned by a plurality of coders to establish a standard of one or more accepted medical codes for the sample. The technology may include instructions for applying the sample to a coding system to obtain a determined medical code for the sample; and for comparing the determined code to the accepted medical codes to rate the coding system's accuracy. In some embodiments, the determined medical codes may be obtained by a software coding algorithm that automatically assigns medical codes to medical records. Moreover, the comparing step may be performed by an algorithm that automatically calculates a rate of the coding system.
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