Hire a medical assistant: credentials, state scope and pay
Most states do not require medical assistants to be certified, so the credential you ask for is your choice, and what an MA may legally do (injections, lab tests) still depends on state law. Careerscape places medical assistants through a national, remote team of recruiters who focus on healthcare and outpatient roles.
A medical assistant job description for your clinic
BLS notes that medical assistants often focus on either clinical or administrative work, though some do both. Cut the lines that do not fit your clinic, and check each clinical duty against your state's rules before you post.
We are hiring a medical assistant to room patients, take vitals and histories, support providers during exams and keep the clinic moving. You will work in our EHR all day and be the first clinical contact for many patients.
Responsibilities
Room patients, record medical history and measure vital signs, height and weight
Assist providers with exams and procedures, and prepare and clean treatment rooms
Collect and prepare lab specimens, and perform venipuncture where permitted
Give injections or medications as directed by a provider and as state law allows
Enter visit data, results and patient instructions accurately in the EHR
Explain care instructions to patients and handle prescription refill requests per protocol
Sterilize instruments, dispose of contaminated supplies and restock rooms
Schedule appointments and help patients with insurance forms when the front desk needs coverage
Requirements
High school diploma or equivalent; completion of a postsecondary medical assisting program preferred
Current CMA (AAMA), RMA (AMT), CCMA (NHA) or NCMA (NCCT) certification, or eligibility within a set period after hire
Current Basic Life Support (BLS) certification
Experience charting in an EHR such as Epic, eClinicalWorks or MEDITECH
Clear, calm communication with patients and providers
Nice to have
Specialty experience (dermatology, cardiology, pediatrics, ophthalmology or orthopedics)
Phlebotomy or EKG experience
Bilingual in English and Spanish or another language your patients speak
Familiarity with prior authorization and referral workflows
Credentials
CMA, RMA, CCMA or NCMA: what each one proves
Four national credentials come up most. They differ in who can sit for the exam and how they are kept current, which tells you something about the candidate's training. Verify any credential directly with its issuer.
Credential
Issuer
Who can sit for the exam
Keeping it current
CMA (AAMA)
American Association of Medical Assistants
Students and graduates of CAAHEP- or ABHES-accredited programs, plus an alternative pathway for other postsecondary or apprenticeship programs that meet set criteria
Recertify every 60 months, by 60 continuing education units (at least 10 each in administrative, clinical and general topics) or by retaking the exam
RMA (AMT)
American Medical Technologists
Five routes, including recent graduates of accredited programs and MAs with at least 3 of the past 7 years of work experience
Annual renewal fee, plus continuing education (CCP) compliance every three years
CCMA
National Healthcareer Association (NHA)
Check NHA for current eligibility routes
Check NHA for current renewal terms
NCMA
National Center for Competency Testing (NCCT)
Check NCCT for current routes
Check NCCT for current renewal terms
Washington's Department of Health accepts the exams behind all four credentials above, plus AMCA's clinical medical assistant exam, for its Medical Assistant-Certified (MA-C) credential, and the exam must have been passed within five years of applying. Source: AAMA eligibility and recertification pages; AMT RMA and CCP pages; Washington DOH.
State rules
Scope of practice is set by the state, not the title
BLS notes that duties vary by state and that tasks such as giving injections or performing basic lab tests are allowed only as state law permits. Here is how that plays out when you hire.
Some states credential MAs directly
Washington issues its own Medical Assistant-Certified credential through the Department of Health. A national certificate alone is not the same as holding the state credential, so check both.
Some states set training prerequisites
BLS says some states require graduation from an accredited program, licensure or certification, or other prerequisites for certain duties. Ask your state medical board or licensing agency which tasks need what.
Delegation still runs through a provider
Even where MAs may give injections, they act at a provider's direction. Write supervision into the job description so candidates know who signs off.
Multi-state groups need a state-by-state duty list
A practice with clinics in several states cannot use one MA job description everywhere. Keep a short list of permitted duties per state and attach it to each posting.
National pay
A narrow pay band, so small raises move candidates
Middle half of all workers (25th to 75th percentile)
Half of all medical assistants earn between $38,470 and $49,180, a band of about $10,700. That is why a modest raise or a better schedule often wins a candidate. Entry-level and uncertified MAs cluster near the 10th percentile ($36,050). Certified MAs with specialty or lead experience reach the 75th percentile, and the 90th ($59,310) is mostly seen in West Coast metros. Annual pay, all U.S. employers, BLS Occupational Employment and Wage Statistics (May 2025), occupation: Medical Assistants. Pay by level and city: Medical Assistant salary guide.
29 metros
Deep MA pools and pricey MA markets
BLS metro estimates, May 2025. Location quotient is the local share of jobs divided by the national share. Market-by-market notes live on our healthcare staffing pages.
Seattle pays the highest median on the table ($61,500), and Washington's MA-C credential adds a step for out-of-state hires. San Francisco ($59,790) and Portland ($56,240) follow. Miami (1.26), Detroit (1.24), Phoenix (1.23) and Tampa (1.22) have the deepest pools relative to their size, and Detroit's median of $39,410 is the lowest we track. New York City (44,060 jobs) and Los Angeles (39,770) are the largest markets. Albany (0.59) and Chicago (0.66) are the thinnest. Medical Assistants, by metro area, sorted by jobs. BLS Occupational Employment and Wage Statistics, May 2025; U.S. median $45,690. Concentration is the BLS location quotient: above 1.0 means the job is a bigger share of local employment than nationally.
Outlook
High turnover means you will hire this role again
Medical assistant employment is on track for much faster than average growth in BLS projections. Expect about 109,700 openings a year nationally. That is roughly one opening for every eight MA jobs that exist today, so expect to hire this role again and keep a short list of backup candidates. Temporary staffing can cover gaps while you recruit.
833,900U.S. jobs in 2025BLS Employment Projections
Much faster than averageProjected growth, 2025–35 (7% or higher)BLS Employment Projections
109,700Openings a year, including replacementsBLS Employment Projections
National figures for Medical Assistants, as published on O*NET OnLine.
Tell us the clinic's state, the specialty, front or back office, the credential you require, and if the need is short-term coverage or a permanent hire.
A short list of screened candidates, not a stack of resumes
Direct hire, contract, contract-to-hire or executive search
Review candidates and give feedback in your Employer Portal
Medical assistants take patient histories and vital signs, help providers with exams, collect lab specimens and enter data into the medical record. Some give injections or medications as state law permits. Administrative MAs schedule appointments, answer phones and help with insurance forms. BLS says MAs often focus on one side, clinical or administrative, though some do both. About 56% work in physicians' offices.
Is a CMA better than an RMA?
Neither is better in general. The CMA (AAMA) requires graduation from an accredited program or an approved alternative pathway, so it signals formal training. The RMA (AMT) also accepts candidates with years of work experience, which helps when you want proven clinic hands. Many employers accept CMA, RMA, CCMA or NCMA. If your state has its own credential, such as Washington's MA-C, that requirement comes first.
Do medical assistants need to be certified?
In most states, no. BLS says most states do not require certification, but employers may prefer or require it, and some states require certification, an accredited program or other steps for certain duties. Washington requires its own Medical Assistant-Certified credential. If you hire uncertified MAs, set a deadline after hire for them to certify and support the exam fee.
Can we hire a medical assistant on a temporary basis?
Yes. Temporary staffing covers leaves, flu season and new clinic openings. Contract-to-hire lets you see an MA work with your providers and EHR before you make a permanent offer. For steady roles, direct hire is usually simpler. In each case, Careerscape's recruiters screen clinical skills and verify credentials with the issuing body.
I'm a medical assistant. How do I find openings through Careerscape?
Look through current medical assistant openings, or upload a resume for a recruiter to review. There is no fee for MAs, and a search while employed stays between you and your recruiter. List your credential, the EHRs you know and any specialty experience, such as dermatology or pediatrics, so recruiters can match you quickly to the right clinic.
Short an MA this week?
Temporary coverage and permanent hires start the same way: a quick call about duties, credentials and your state's rules. A healthcare recruiter will take it from there.