In response to industry demand, Clinical Documentation Improvement Australia has developed CDIA Clinical Documentation Specialist (CDS) certification (CCDS). This certification has been developed as an industry certification with the CDS achieving key milestones to support career progression as a CDS.
Those who achieve CCDS possess expertise in the relevant Australian Coding Standards (ACS) applicable to the CDS role, anatomy, physiology, pharmacology, and pathophysiology; are proficient in undertaking concurrent reviews of the inpatient medical record, engaging clinicians, ethical query writing, managing data and reporting on the impact of a CDI program.
There are three levels of the CDIA CCDS certification:
A Level 1 CDIA CCDS must be a registered nurse, health information manager, clinical coder, enrolled nurse, medical doctor or allied health professional who has undergone formal CDS training OR who has been in a CDS role for a minimum of six months full-time equivalent.
Learn more about Level 1 CDIA CCDS certification here.
A Level 2 CDIA CCDS is a CDS who has practiced as a CDIA CCDS Level 1 for a minimum of one year full-time equivalent and demonstrates further progression in all domains fundamental to the CDS role.
Learn more about Level 2 CDIA CCDS certification here.
A Level 3 CDIA CCDS is a CDS who has practiced as a CDIA CCDS Level 2 for a minimum of one year full-time equivalent and demonstrates advanced experience and mastery in all domains fundamental to the CDS role.
Learn more about Level 3 CDIA CCDS certification here.