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The Canadian College of Health Information Management is the certifying body for health information national certification examinations in Canada. CHIMA, Canada’s health information management association, is the examination host and responsible for delivering an online proctoring service to all candidates.

Please read this Certified Clinical Documentation Improvement Specialist (CCDIS) national certification examination (NCE) guide in full before applying.

Section 1: About the CCDIS NCE

The CCDIS NCE consists of 75 randomized multiple-choice questions and is 120 minutes in duration. Each correct multiple-choice question is worth one mark.

A passing grade is based on the following requirement:

  • An overall grade of 80% or higher

The examination covers five practice areas:

Practice area
Anatomy and physiology, clinical pathology, and pharmacology
Clinical coding skills
Documentation improvement
Leadership, communications, and education skills
CDI program metrics and analysis


A candidate who is unsuccessful in writing the CCDIS NCE on the first attempt may re-write the examination twice more (for a total of three times). Regular pricing applies for subsequent attempts. The exam candidate must complete the entire examination each time. If a candidate has failed all three attempts, a further review will be conducted.

Section 2: Examination application

Please review the following information before applying for the CHIM NCE:

Ensure CHIMA membership is active

An active membership with CHIMA is required during both the application process and when writing the CCDIS NCE. 

Submit application and payment

In order to register for the CCDIS NCE, candidates must submit an application and provide payment. Payment will need to be received on or before the application deadline. To access the CCDIS national certification application, please follow these steps:

  1. Sign in to your CHIMA account, accessible in the top right corner of the screen
  2. Click on your name to access your dashboard
  3. Scroll down to ‘Canadian College of Health Information Management’ and select ‘Manage’
  4. Navigate to ‘National certification applications’ and click learn more
  5. Navigate to ‘CCDIS’ and select ‘Apply here’

Applicants are responsible for reviewing all information to ensure it is correct in both the application and the CHIMA membership profile.

Documentation requirement

Documentation is required to be received on or before the application deadline. CHIMA is not able to request a candidate’s documentation from an institution as they contain personal information. It is suggested that candidates confirm their program’s policy for submitting documentation to CHIMA. Candidates will not be notified of the receipt of their documentation.

This is a one-time submission to the Canadian College of Health Information Management.

Eligibility pathwayRequired documentation
Graduate of a College-accredited CDI specialty programTranscript
Please submit documentation to [email protected]

For transcript submission, choose from one of the following methods:


Electronic transcripts are accepted only when received directly from an institution. They must be scanned individually as a PDF, saved as ‘lastname_firstname_institution,’ and emailed to [email protected]


Both an institution and exam candidate can mail a sealed, original copy to the following address:

Attn: Examinations 
201 King St.
London, Ontario
N6A 1C9

Section 3: Preparing for the examination


The following resources may help prepare candidates with writing the CCDIS NCE:

Meeting technology requirements

Section 4: Writing the examination

Booking an examination date and time

Approved candidates will receive an email from CHIMA to schedule an examination date and time. The time slots will be based on availability during eastern standard time business hours (Monday to Friday, with the exception of statutory holidays). This email is sent out 2–3 days following the application deadline.

What to bring


Candidates may use pencils and a piece of scrap paper during the examination. Candidates must dispose of all scrap paper immediately following the examination.

Important steps for examination day

Due to COVID-19, many candidates will be writing from home with other household members present. We ask that you limit the number of people who are connected to the internet to ensure there are no interruptions to the examination. 

The following are six important steps that must occur the day of your examination:

  1. Make sure the computer is connected to a power source.
  2. Re-download the proctoring software 15-minutes before your examination start time. This proctoring software is only valid for the time that it is open on your device. Please do not close this software. Candidates must enter their name when the session box comes up so that the proctor can recognize it. Please see the example below:
  1. Conduct the quick tests for internet speed, microphone, camera, and proctoring software found on the CHIMA NCE online proctoring guidelines page.
  2. Arrive prepared with one form of valid (not expired) government-issued photo identification for the proctor. It must contain the candidate’s photograph and signature.
  3. Sign in to the CHIMA dashboard at the scheduled appointment time
  4. Ensure the phone number associated with the CCDIS NCE application is charged and ready to accept a call from the proctor to start the authentication process. The proctor will call you at the exact time of your appointment.

The proctor will provide access to the examination once a recording has begun. The proctor’s video screen will be turned off during examination writing as to not distract the candidate. Candidates can get the proctor’s attention by using the chat function or by calling CHIMA’s proctoring support number. 

Email questions on examination day to [email protected] or call 1-519-800-8300.

Section 5: Receiving results

Candidates will be able to view their grades by signing in to their CHIMA dashboard. Please select ‘Canadian College of Health Information Management’ and navigate to ‘Examination history’. Grades are posted approximately 20 business days* after the examination period ends. Candidates who passed will receive an official certificate from the Canadian College of Health Information Management and a welcome letter in the mail within 45 business days*.

* At times, the College could run outside of these service level agreements due to extenuating circumstances. 

For those who pass, click here to see when you are required to pay your upcoming membership dues with the CHIMA.
For those who do not pass, your current membership with CHIMA will remain the same.

Last updated 2022-04-07