Author

M. Fainzilber

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Preprint Aug 2026

Listwise Cross-Encoder Fine-Tuning vs. Agentic Instruction Tuning for LLM Rerankers: A Systematic Study in Medical Procedure Reranking

A systematic comparison of two reranking paradigms for this production task finds that a 109M-parameter cross-encoder fine-tuned with ListNet outperforms the 4B-parameter model by 2.6 percentage points on NDCG@3 and 13.3 points on Spearman correlation - at 37x fewer parameters.

M. Fainzilber, Shlomit Plavner · 0 citations