Systems and methods for medical information data warehouse management

A data warehouse management system for a health information management system, the data warehouse management system comprising:

• a data warehouse configured to receive a plurality of medical record source documents, wherein the plurality of medical record source documents include evidence;
• a classifier configured to select a model and model weights based upon context of an annotation activity and a user, wherein the selecting includes modifying a dynamic confidence threshold based at least in part upon the annotation activity, wherein the dynamic confidence threshold is applied to each source document of the plurality of medical record source documents, and generate findings from the evidence using natural language processing using the selected model;
• and
• a manager configured to probabilistically transform the plurality of medical record source document into a structured data set, the manager further configured to generate a subset of source documents for each of the at least one finding, select a single source document from each subset of source documents with the largest confidence for a given finding, and embed links into the structured data set which references the single source document;
• a coder marketplace configured to
• filter a plurality of coders for proficiency in the evidence to yield a set of proficient coders, wherein proficiency is a metric including accuracy in an area associated with the evidence and time taken to perform coding in the area, measure a number of risk adjustment factors each of the proficient coders completes per hour on average, and a rate of false positive coding measured as a rate of annotation disagreement with a supervisor, and an accuracy measure comprising a degree that a given coder agrees with other coders when presented the same task, rank the proficient coders by the risk adjustment factor completed per hour, the accuracy measure, and the false positive coding measured for each proficient coder to generate a ranked coder list, and filter the ranked coder list by availability to generate a best suited coder;
• an interface configured to enable user updating of the finding and routing the structured data set with embedded links to the best suited coder, and a network connection for submitting the finding for reimbursement.