A sorter of medical findings for assessment by a medical coder is provided. In some embodiments, the sorter receives information about a user (coder), including identification, a role, and historical activity. The sorter determines whether to run in exploration or exploitation modes. Exploration is used to explore the scope of the findings and also identify variables that impact a finding. Exploitation is designed to maximize a goal (such as throughput or profitability). Lastly a finding is selected and provided to the user. The selection is based upon computing internal parameters when in exploration, or based upon optimizing for criteria when in exploitation. The sorter may also determine competency for the user, and cut them off from performing additional coding if they are found incompetent.