Before you import any points or start drawing anything you should always set the coordinate system and units to match what you need. If you're using a survey database then you need to make sure the database is setup to also use the same coordinate system and unit before importing any points.
Changing the C3D drawing coordinate system does not reproject everything in the drawing. If you've already got drawing objects then there are two things you'll need to check in order to get them to proper coordinates. What's the source coordinate system and source units used? Pay attention to make sure the ACAD UNIT is set to match the C3D drawing coordinate system unit because it's not on by default (stupid Autodesk move).
You can use the Transformation tab in the C3D drawing settings dialog.
I haven't had to use this in over a decade, so I'm not sure if it works on both C3D objects and ACAD objects or only C3D objects. The help doesn't say (typical Autodesk), so maybe others with experience can chime in.
EDIT: This new forum format is ridiculous. I saw this and didn't even see the replies until after I wrote mine. I also didn't realize this was an older thread until I had posted the reply. Autodesk has really screwed up everything with the deleting of older posts and now this format change that makes it more difficult to navigate/understand what's going on compared to the older format.
C3D 2022-2025
Windows 11
32GB RAM