NewRN, DRG Coder / Clinical Auditor Pivotal Placement ServicesRN, DRG Coder / Clinical AuditorJupiter, FL$90,000–$104,841 / yearHeadquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm that specializes in placing healthcare professionals—from staff to leadership—with both clinical and non-clinical employers. Our comprehensive and customer-focused workforce solutions include Direct Placement and Managed Service Provider (MSP) / Vendor Managed Services (VMS) engagements nationwide.
Medical Coder Certified - USFTGP UMSA RCO Coding Tampa General HospitalMedical Coder Certified - USFTGP UMSA RCO CodingTampa, FL680952'',''true'',''680952'',''false'',''Submission for the position: Medical Coder Certified - USFTGP UMSA RCO Coding - (Job Number: 260002CD)'',''false'',''680952'',''false'',''true'',''Medical Coder Certified - USFTGP UMSA RCO Coding'',''260002CD'',''!*! The Medical Coder Certified is responsible for accurate coding, charge verification, and data abstraction necessary for billing in various professional healthcare settings.
Medical Coder Certified - USFTGP UMSA RCO Back End Tampa General HospitalMedical Coder Certified - USFTGP UMSA RCO Back EndTampa, FL681099'',''true'',''681099'',''false'',''Submission for the position: Medical Coder Certified - USFTGP UMSA RCO Back End - (Job Number: 260002EB)'',''false'',''681099'',''false'',''true'',''Medical Coder Certified - USFTGP UMSA RCO Back End'',''260002EB'',''!*! Medical Certified is responsible for accurate coding, charge verification, and data abstraction necessary for billing in various professional healthcare settings.
Certified Medical Coder Physicians Primary CareCertified Medical CoderFort Myers, FloridaPhysicians’ Primary Care of Southwest Florida is a premier physician-owned and managed multi-specialty practice with locations in Cape Coral, Estero, Fort Myers, and Lehigh Acres. Go to https://www.ppcswfl.com/wp-content/uploads/2023/06/E-Verify_Participation_Poster_Eng_Es-06.22.23.pdf for more information.
Certified Medical Coder - Risk Adjustment (HCC) Porter CaresCertified Medical Coder - Risk Adjustment (HCC)Pompano Beach, FloridaDriven by robust AI analytics, Porter’s Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member’s specific needs, and directs Porter’s team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience.
Certified Medical Coder - Risk Adjustment Porter CaresCertified Medical Coder - Risk AdjustmentPompano Beach, FloridaDriven by robust AI analytics, Porter’s Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member’s specific needs, and directs Porter’s team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience.
Certified Medical Coder Physicians Primary Care of Southwest Florida PLCertified Medical CoderFort Myers, FLPhysicians' Primary Care of Southwest Florida is a premier physician-owned and managed multi-specialty practice with locations in Cape Coral, Estero, Fort Myers, and Lehigh Acres. Go to https://www.ppcswfl.com/wp-content/uploads/2023/06/E-Verify_Participation_Poster_Eng_Es-06.22.23.pdf for more information.
Medical Coder - Wound Care Pinnacle Wound ManagementMedical Coder - Wound CareMiami, FloridaPinnacle Wound Management is a physician-led wound care provider dedicated to improving healing outcomes for patients in skilled nursing and long-term care facilities. Accurately review and code wound care services performed in long-term care and post-acute settings, ensuring compliance with ICD-10, CPT, HCPCS, and payer requirements.
Medical Coder - Primary Care Clinic HealthPlus StaffingMedical Coder - Primary Care ClinicSunrise, FloridaResponsibilities include accurately assigning diagnosis codes, reviewing provider documentation for coding specificity and compliance, and assisting with HCC/risk adjustment coding as needed. The ideal candidates will have experience with diagnostic coding, chart review, and ICD-10 coding within a primary care setting.
Medical Coder Supervisor PROMD PRACTICE MANAGEMENT INCMedical Coder SupervisorPinecrest, FLAs the Medical Coder Supervisor, you will lead group of certified coders to accurately review and approval encounters using industry coding guidelines, optimize workflow efficiency, and oversee a high-performing medical coding team. We're seeking a highly motivated and experienced Charge Posting (Coder) Supervisor to join our leadership team and help us continue delivering exceptional results to our clients across the country.
Medical Coder PROMD PRACTICE MANAGEMENT INCMedical CoderPinecrest, FLThe ideal candidate is detail-oriented with strong people skills and computer skills. You will be responsible for selecting the correct codes and functions to be assigned to each instance.
Medical Risk Adjustment Coder- VBC Orlando Health Ventures l LLCMedical Risk Adjustment Coder- VBCWinter Park, FLLicensure/Certification • Must maintain current one of the following: Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Experience • Prior HCC/HHS experience with Medicare Risk Adjustment with two (2) years' experience in medical coding. Responsibilities Essential Functions • Collaborates with a variety of internal and external clients, including health care executives, physicians, provider office personnel, and payer representatives from various health plans to streamline and optimize accurate diagnosis code capture.
MEDICAL CODER II - FULL TIME Watson Clinic LLPMEDICAL CODER II - FULL TIMELakeland, FLGood problem solving skills and the ability to communicate clearly in writing and verbally to assigned providers and support staff. Reviews and resolves all assigned charges thoroughly based on coding guidelines, chart documentation and related charges in billing system.
Medical Necessity Coder, Medical Necessity Management, FT,09A-5:30P Baptist Health South Florida IncMedical Necessity Coder, Medical Necessity Management, FT,09A-5:30PMiami, FL$20.02–$25.43 / hourBaptist Health is the region''s largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. Our approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including: Career growth and development opportunities, with clear pathways and ongoing support.
MEDICAL CODER III - FULL TIME Watson Clinic LLPMEDICAL CODER III - FULL TIMELakeland, FLGood problem solving skills and the ability to communicate clearly in writing and verbally to assigned providers and support staff. Review and edit charges for accuracy of codes and modifier usage based on established billing guidelines and completeness of charges/diagnoses by specialties.
Medical Records Coder III - ED Coding (Part Time) BayCare Health SystemMedical Records Coder III - ED Coding (Part Time)Clearwater, FLSummary: Performs advanced coding functions by reviewing short-stay focused encounters and assigning accurate diagnosis and procedural codes using ICD-10-CM and CPT-4 coding systems. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Medical Risk Adjustment Coder- VBC Orlando HealthMedical Risk Adjustment Coder- VBCWINTER PARK, FloridaFull timeThrough our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida’s east to west coasts and beyond. • Collaborates with a variety of internal and external clients, including health care executives, physicians, provider office personnel, and payer representatives from various health plans to streamline and optimize accurate diagnosis code capture.
Medical Records Coder I - PRN BayCare Health SystemMedical Records Coder I - PRNFLRemoteOur network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. Responsibilities: Assigns diagnosis and procedural codes using ICD-10-CM, ICD-10-PCS, and CPT-4 coding systems, monitors bill hold reports, and performs other duties as assigned.
NewMedical Records Coder III Outpatient (REMOTE) BayCare Health SystemMedical Records Coder III Outpatient (REMOTE)Clearwater, FLRemoteYou will serve as a coding subject matter expert, collaborating with clinical and operational teams to resolve documentation questions, improve coding accuracy, and support revenue cycle integrity. This position also plays an important mentoring role by assisting with the training and development of Coder I and Coder II team members, as well as clinical practice students.
Freelance Medical & Billing Coder Dane StreetFreelance Medical & Billing CoderOrlando, FLYou will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct.
Medical Records Coder III Outpatient BayCare Health SystemMedical Records Coder III OutpatientTampa, FLRemoteResponsibilities: The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Medical Records Outpatient Coder III BayCare Health SystemMedical Records Outpatient Coder IIIClearwater, FLRemoteResponsibilities: The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Freelance Medical & Billing Coder Dane Street, LLCFreelance Medical & Billing CoderOrlando, FLYou will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct.
NewMedical Records Coder II (REMOTE) BayCare Health SystemMedical Records Coder II (REMOTE)Clearwater, FLRemoteBayCare is one of the largest health care providers and employers in the Tampa Bay area, serving our communities through 16 hospitals, a long-term acute care facility, outpatient centers, home health services, and an extensive physician network. Position Summary: The Coder II applies intermediate-level coding knowledge to accurately assign diagnosis and procedure codes using ICD-10-CM, ICD-10-PCS, and CPT-4 classification systems.
Medical Biller/coder/AR Family Medicine And Rehab IncMedical Biller/coder/ARJACKSONVILLE, FLAs a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.
Medical Biller and Coder HOLLYWOOD ASCMedical Biller and CoderHollywood, FLCollections (Monitoring insurance claims by running appropriate reports and communicate with the appropriate people/departments resolve claims that are not paid in a timely manner). The ideal candidate will be responsible for managing billing processes, ensuring accurate coding and submission of claims and payment follow-up.
Certified Coder & Auditing (TEXAS BASED ONLY - MUST RESIDE) Dane Street, LLCCertified Coder & Auditing (TEXAS BASED ONLY - MUST RESIDE)West Palm Beach, FLWe process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We are seeking an experienced CPC certified medical coder to perform coding audits, utilization reviews, audits and more.
Coder Physician OMH HealthEdge Holdings IncCoder PhysicianBoca Raton, FLRemoteFounded in 2003, Omega Healthcare Management Services (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support.
NewCoder Physician Billing | PB Coding - Surgical - Certified UF HealthCoder Physician Billing | PB Coding - Surgical - CertifiedJacksonville, FloridaRemotePer diemCollaborates with healthcare providers to clarify documentation, resolve coding discrepancies, and ensure the integrity of coded data for billing and reporting purposes. Participates in auditing activities, supports staff training on coding procedures, and monitors productivity and quality metrics to drive continuous improvement.
NewClinical Coder II University of FloridaClinical Coder IIGainesville, FL$22.12–$25 / hourExtract billable services from the patient charts, apply appropriate Current Procedural Terminology (CPT), International Classification of Diseases (ICD-10) codes, Healthcare Common Procedure Coding System (HCPCS) and American Dental Association Dental Procedure Codes and enter these services in AxiUm for submission. Work closely with faculty, fellows and the Residents in the respective Divisions to provide education on correct coding, proper documentation to maximize physician reimbursement, and ensure compliance with federal and state regulations.
NewSenior Clinical Coder (Inpatient Facility Coding) – Remote TEEMA GROUPSenior Clinical Coder (Inpatient Facility Coding) – RemoteSarasota, FLRemote$80,000–$90,000Candidates with only physician, outpatient, clinic, or professional fee coding experience (including CPC-only backgrounds) are unlikely to be a match unless they also possess significant inpatient facility coding and DRG validation experience. We're seeking a Senior Clinical Coder to join a collaborative clinical operations team supporting complex medical claims reviews and coding accuracy.
Anesthesia Specialty Coder II (REMOTE) BayCare Health SystemAnesthesia Specialty Coder II (REMOTE)Tampa, FLRemoteThe Anesthesia Specialty Coder II audits physician documentation to assign appropriate anesthesia CPT codes, diagnosis codes, and modifiers related to anesthesia coding and billing as well as anesthesia minutes. Position Details: The Anesthesia Specialty Coder II is a Certified Professional Coder who assigns diagnosis and procedural codes using ICD-9 CM and CPT-4 coding systems, and audits physician documentation.
NewSpecialty Coder II (REMOTE) BayCare Health SystemSpecialty Coder II (REMOTE)Clearwater, FLRemoteThe Specialty Coder audits physician documentation to assign appropriate CPT codes, diagnosis codes, and modifiers related to anesthesia coding and billing as well as anesthesia minutes. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Hospital Based Outpatient Coder II - HIM - FT - Days - MSS - Remote Eligible South Broward Hospital DistrictHospital Based Outpatient Coder II - HIM - FT - Days - MSS - Remote EligibleFLRemoteCertified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) Registered Health Information Technician (RHIT) - State of Florida (FL) Registered Health Information Technician (RHIT AHIMA) - American Health Information Management Association (AHIMA). • Reviews encounters to assign and sequence appropriate diagnoses (including HCC Coding Hierarchical Condition Category) and CPT procedure codes as well as modifiers to complex diagnostic and surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software, and HIM coding policies and procedures.
Outpatient Coder 3 (H) University of MiamiOutpatient Coder 3 (H)FLRemoteUnder the general direction of the Outpatient Coding Manager, the Outpatient Coder 3 reviews documentation in the electronic medical record (EMR) and assigns and sequences ICD-10-CM diagnosis codes and CPT procedure codes in accordance with national coding guidelines. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine.
NewCoder Physician Billing | Revenue Cycle Team 9 – Radiology | CERTIFIED UF HealthCoder Physician Billing | Revenue Cycle Team 9 – Radiology | CERTIFIEDJacksonville, FloridaRemoteFull timeCollaborates with healthcare providers to clarify documentation, resolve coding discrepancies, and ensure the integrity of coded data for billing and reporting purposes. Participates in auditing activities, supports staff training on coding procedures, and monitors productivity and quality metrics to drive continuous improvement.
Coder I- Remote/CPC Baptist Health CareCoder I- Remote/CPCPensacola, FLRemoteLicenses and Certifications: • Certified Coding Specialist (CCS_AHIMA) Required or • Certified Coding Associate (CCA_AHIMA) Required or • Certified Professional Coder (CPC_AAPC) Required or • Certified Outpatient Coding (COC_AAPC) Required. The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network.
Coder II- CCS, CCA, RHIT, RHIA Baptist Health CareCoder II- CCS, CCA, RHIT, RHIAPensacola, FloridaRegistered Health Information Administrator (RHIA_AHIMA) Registered Health Information Technician (RHIT_AHIMA) Certified Coding Specialist (CCS_AHIMA) Certified Coding Associate (CCA_AHIMA) Certified Professional Coder (CPC_AAPC). The organization includesthree hospitals, four medical parks,Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network.
NewSurgical Coder - FPG Central Billing - Remote (Must be FL resident) First Physicians Group - Sarasota Memorial Health Care SystemSurgical Coder - FPG Central Billing - Remote (Must be FL resident)Sarasota, FloridaRemoteFull timeEmployment Screening Requirements: As part of Sarasota Memorial Health Care System’s commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. - Prefer knowledge of electronic health records software and skill in all Microsoft office software programs (Word, Excel, Outlook, Power Point, Access).
Coder II- Remote/CCS, CCA, RHIT, RHIA Baptist Health CareCoder II- Remote/CCS, CCA, RHIT, RHIAPensacola, FloridaRemoteThe organization includesthree hospitals, four medical parks,Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama.
Certified Coder HCA Healthcare IncCertified CoderTampa, FLEXPERIENCE: One year of coding and/or billing experience in a healthcare environment CERTIFICATION/LICENSE: Must be one of the following: Certification Certified Coding Specialist (CCS) Governing Body Certified Coding Specialist - Physician (CCS-P) AHIMA AHIMA Registered Health Information Technician - RHIT Registered Health Information Administrator - RHIA AHIMA AHIMA Certified Professional Coder - (CPC) Certified Professional Coder - Hospital (CPC-H) AAPC AAPC Governing Body Full Name - - AHIMA (American Health Information Management Association) AAPC (American Academy of Professional Coders) Benefits HCA FL Endocrine Institute, offers a total rewards package that supports the health, life, career and retirement of our colleagues. Works in conjunction with A/R team on follow up and resolution of coding related denials and rejections Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPCS II, and ICD-9/ICDD-10 materials, the Federal Register, and other pertinent materials.
NewSr. Inpatient Clinical Coder TEEMA GroupSr. Inpatient Clinical Coder"-", FLRemote$80,000–$90,000The Senior Clinical Coder serves as a subject matter expert in medical coding and DRG validation, playing a critical role in ensuring coding accuracy, regulatory compliance, and appropriate reimbursement across inpatient and outpatient services. In this role, you will conduct detailed retrospective claims reviews, provide expert-level coding analysis, and support cross-functional teams including medical directors, claims operations, and quality management.
Outpatient Coder I - HFMG Coding Health First IncOutpatient Coder I - HFMG CodingMelbourne, FLUpholds regulatory compliance by consulting validated coding references for accurate code assignment and sequencing rules, i.e., ICD-9 /ICD-10 and CPT-4 Official Coding Guidelines, AMA Coding Clinics for ICD-9/10, AMA Coding Clinic for HCPCS, AMA CPT Assistant, National Correct Coding Initiative edits, National and Local Coverage Determinations, medical dictionary, pharmaceutical and drug references, and anatomy and physiology references, etc. Validates accuracy of codes assigned by the computer assisted coding tool, recognizing inappropriate application of clinical coding rules/guidelines and making revisions to the codes, while interpreting clinical documentation to ensure codes reported are clearly and consistently supported by the health record.
NewIPA Consultative Coder - Treasure Coast (Port St. Lucie / Fort Pierce) CenterWellIPA Consultative Coder - Treasure Coast (Port St. Lucie / Fort Pierce)Port Saint Lucie, FloridaTo ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
NewIPA Consultative Coder - Southeast Florida (Daytona) CenterWellIPA Consultative Coder - Southeast Florida (Daytona)Deland, FloridaTo ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: · At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
NewIPA Consultative Coder - North Florida (Tampa/Brandon) CenterWellIPA Consultative Coder - North Florida (Tampa/Brandon)Brandon, FloridaTo ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: · At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
IPA Consultative Coder - Palm Beach (Boca Raton / South County) CenterWellIPA Consultative Coder - Palm Beach (Boca Raton / South County)Palm Beach Gardens, FloridaTo ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: · At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
IPA Consultative Coder - Palm Beach (Central Palm Beach) CenterWellIPA Consultative Coder - Palm Beach (Central Palm Beach)West Palm Beach, FloridaTo ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
NewCoder ER OMH HealthEdge Holdings IncCoder ERBoca Raton, FLRemoteFounded in 2003, Omega Healthcare Management Services (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; and talk or hear.