A
system and method for configuration-driven
continuous training of large language models in autonomous medical coding normalize multi-source electronic
health data into
provenance-preserving,
specialty-aware schemas and provide schema-mapped context to a configurable multi-stage reasoning pipeline to generate candidate code bundles including evaluation and management levels, procedure codes, modifiers, diagnosis codes, and linkages. A ruleset-based validation layer enforces bundling, modifier applicability, and payer policies, and emits
machine-readable explanations with rule identifiers, evidence references, and pass / fail indicators. A
telemetry-enabled
user interface captures approvals, rejections, edits, and rationales, which are consolidated with validation results into
provenance-tracked training examples via a trust- or quality-weighted
consensus. Signals from reasoning outputs, validation checks, user interactions, and downstream outcomes are fused to produce continuous learning signals that update prompt templates and output
ranking parameters through configuration rollouts-without redeploying base models. The approach improves accuracy, robustness, explainability, and auditability for scalable EHR integration.