STUDENT
EVALUATION
FORM
Student’s Name:__________________________________________________Student ID#: K_________________________
Date:_______________________________Pipeline Email Address:______________________________@pipeline.sbcc.edu
Other Colleges Attended:_________________________________________________________________________________
Instructions:
1) Complete all fields with course information that you would like considered. PLEASE TYPE DIRECTLY INTO THE FORM.
2) Submit the completed form to the Gwyer Schuyler, Academic Counseling Center, SBCC, 721 Cliff Drive, Santa Barbara, CA 93109.
3) Transcripts must accompany this form OR must be on file in Admissions.
4) Incomplete course information will lead to a denial of coursework.
5) You will receive the evaluation results at your SBCC Pipeline email.
6) Questions can be addressed to schuyler@sbcc.edu.
MEDICAL CODING SPECIALIST
2012-2013
Department Requirements
Institution Name
COMP 101 Microsoft Office
4.0 sem.
HIT 135
Medical Terminology
3.0 sem.
BMS 146
Human Form and Function
3.0 sem.
HIT 101
Intro. to Health Information Mgmt 3.0 sem.
HIT 102
Legal Aspects of Healthcare
3.0 sem.
HIT 204
Basic Pathophysiology
3.0 sem.
HIT 201
Pharmacology for Allied Health
2.0 sem.
HIT 200
ICD-9-CM Coding
3.0 sem.
HIT 210
CPT Coding
3.0 sem.
HIT 255
Medical billing and
Reimbursement
4.0 sem.
HIT 205
Advanced Coding Applications
4.0 sem.
HIT 280
Medical Coding Practicum
1.0 sem.
Course Name &
Number
(Ex: HIT 135)
Course Title
(Ex: Medical Terminology)
Counselor Comments:
Counselor Signature:
Date:
Type
(sem.
or
Grade Units quart.)
Term
(F07,
S08 or
SU08)