2022/2023 ACDIS CDI Leadership Council Application

The ACDIS Leadership Council connects forward-thinking CDI leaders through personalized insight-sharing and networking experiences.

Through their active participation in the community, Council members gain peer perspective on strategic priorities, special resources that reveal how their teams and processes stack up on important metrics, and exclusive invitations to leadership opportunities tailored to their interests and expertise.

For the 2022/2023 Council term, ACDIS is in search of CDI leaders who are energized by the prospect of joining a dynamic community dedicated to peer exchange, goal achievement, and advancement of collective knowledge and best practices. We encourage all eligible CDI leaders to apply with this simple application form.

Before applying, please review the complete Council details and guidelines on the ACDIS website to ensure you meet experience and participation requirements: https://acdis.org/acdis-leadership-council

Please note that Council membership is currently limited to CDI leaders employed by healthcare provider organizations.

Application deadline: August 31

Questions? Email ACDIS Associate Editorial Director Linnea Archibald at larchibald@acdis.org.

Question Title

* Please enter your contact information in the fields below.

First Name *

Last Name *

Mailing Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Email Address *

Phone Number *

Question Title

* Is the address you provided your personal mailing address or your work address?

Note that we may occasionally mail you Council-related materials.

Mailing address

Work address

Question Title

* Is the email address you provided a personal or work email address?

Note that some organizations have firewalls in place which flag some Council emails and may prevent you from receiving all the notifications.

Personal email

Work email

Is there another email address we can reach you at if need? If yes, please provide it here.

Question Title

* What credentials do you hold? (Check all that apply.)

Accredited Case Manager (ACM)

Certified Clinical Documentation Specialist (CCDS)

CCDS-Outpatient (CCDS-O)

Certified Case Manager (CCM)

Certified Coding Specialist (CCS)

Certified Professional Coder (CPC)

Certified Documentation Expert Outpatient (CDEO)

Clinical Documentation Improvement Practitioner (CDIP)

Certification in Healthcare Revenue Integrity (CHRI)

Certified Professional in Healthcare Quality (CPHQ)

Certified Risk Adjustment Coder (CRC)

Fellow of American College of Healthcare Executives (FACHE)

Licensed Practical Nurse (LPN)

Bachelor of Medicine, Bachelor of Surgery (MBBS)

Doctor of Medicine (MD)

Master of Healthcare Administration (MHA)

Nurse Practitioner (NP)

Physician Assistant (PA)

Registered Health Information Administrator (RHIA)

Registered Health Information Technician (RHIT)

Registered Nurse (RN)

Registered Respiratory Therapist (RRT)

Other (please specify)

Question Title

* Please indicate your title or role.

CDI specialist

CDI second level reviewer

CDI lead

CDI supervisor

CDI manager

CDI director

CDI auditor

CDI educator

CDI physician educator

CDI informaticist/analyst

CDI-coding liaison

CDI quality specialist

CDI denials specialist

HIM coding supervisor

HIM/coding manager

HIM/coding director

HIM/coding professional

Physician advisor/champion

Hospital executive

Consultant

Vendor

Other (please specify)

2022/2023 ACDIS CDI Leadership Council Application

Question Title

* Please enter your contact information in the fields below.

Question Title

* Is the address you provided your personal mailing address or your work address? *Note that we may occasionally mail you Council-related materials.*

Question Title

* Is the email address you provided a personal or work email address? *Note that some organizations have firewalls in place which flag some Council emails and may prevent you from receiving all the notifications.*

Question Title

* What credentials do you hold? (Check all that apply.)

Question Title

* Please indicate your title or role.

* Is the address you provided your personal mailing address or your work address?

Note that we may occasionally mail you Council-related materials.

* Is the email address you provided a personal or work email address?

Note that some organizations have firewalls in place which flag some Council emails and may prevent you from receiving all the notifications.