How to Become a Medical Assistant in North Carolina

Medical assistants serve as vital members of North Carolina's health care teams, bridging the gap between clinical care and administrative efficiency. Their diverse skill set allows them to support both physicians and patients while ensuring smooth operations in medical practices, clinics, and hospitals across the state.
For those interested in joining this dynamic field in North Carolina, understanding the educational pathways, certification options, and employment landscape is essential. The role combines hands-on patient care with organizational responsibilities, offering opportunities to make meaningful contributions to community health while building a stable career in the medical field.
Key Points
- Medical assistants in North Carolina perform clinical and administrative tasks, including preparing patients for exams and maintaining medical records.
- Certification is not required in North Carolina but can improve job prospects and earning potential.
- Accredited programs in the state prepare students for certification exams and clinical roles.
- The field is projected to grow by 15% nationally from 2023 to 2033, reflecting strong demand in health care.
- Salaries in North Carolina average $40,880 annually, with opportunities for higher wages in urban areas.
What is a Medical Assistant?
Medical assistants are critical contributors to health care teams, performing duties that blend patient care and administrative responsibilities. Clinical tasks include taking patient histories, measuring vital signs, administering injections as permitted by state law, and assisting physicians during examinations.
Administrative duties involve scheduling appointments, updating electronic health records, and coordinating billing processes. Proficiency in scheduling software and electronic health record systems is essential for administrative roles.
Medical assistants may specialize in clinical or administrative responsibilities depending on the employer. Communication skills, attention to detail, and the ability to manage multiple priorities are key to success in this career.
Steps to Become a Medical Assistant in North Carolina
1. Earn a High School Diploma or Equivalent
Completing high school or obtaining a GED is the foundational step for pursuing a medical assistant career in North Carolina. High school coursework in biology and anatomy can provide early exposure to skills relevant to this profession.
For high school students in North Carolina, Career and Technical Education (CTE) programs offer pathways into health care fields. These programs may include introductory medical courses or certifications that align with future medical assistant training.
2. Explore and Compare Medical Assistant Programs in North Carolina
North Carolina offers diverse educational opportunities for aspiring medical assistants, including certificate programs, diplomas, and associate degrees. Each program offers unique benefits tailored to students' career goals.
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Key Program Features
When selecting a program, prioritize those offering:
- Courses in medical terminology, anatomy, clinical procedures, and office management.
- Clinical externships that provide hands-on experience under professional supervision.
- Preparation for certifications like the Certified Medical Assistant (CMA) or Registered Medical Assistant (RMA).
Highlights of Institutions in North Carolina
- Alamance Community College: Offers both diploma and associate degree programs and includes exam preparation for certification.
- Johnston Community College: Features hybrid learning options and externship opportunities with health care providers.
- Wilkes Community College: Provides a three-semester diploma program with strong job placement support.
3. Enroll in and Complete an Accredited Medical Assistant Program
Accredited programs ensure students gain the knowledge and clinical experience required for medical assisting roles. Programs recognized by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the Accrediting Bureau of Health Education Schools (ABHES) are preferred by most employers.
Program Length and Focus
- Certificate or diploma programs can often be completed in nine to twelve months. These focus on essential skills needed for entry-level positions.
- Associate degree programs typically require two years and include additional coursework in general education and advanced clinical skills.
Many programs in North Carolina include externships with health care facilities. These opportunities allow students to apply their skills in real-world settings, often leading to employment offers after program completion.
4. Earn a Professional Certification
Although state law in North Carolina does not mandate certification for medical assistants, earning a credential can enhance job opportunities. The most widely recognized certification is the Certified Medical Assistant (CMA) offered by the American Association of Medical Assistants (AAMA).
Steps to Certification
- Complete an accredited medical assistant program.
- Apply for the CMA exam through the AAMA.
- Schedule the exam at an approved testing center, such as those in Raleigh or Charlotte.
- Pass the exam, which includes 200 multiple-choice questions covering clinical, administrative, and general medical topics.
Other certifications include the Registered Medical Assistant (RMA) from American Medical Technologists and the Certified Clinical Medical Assistant (CCMA) from the National Healthcareer Association.
5. Begin Your Job Search in North Carolina
Graduates can explore employment opportunities across North Carolina’s growing health care sector. Offices of physicians, outpatient care centers, and hospitals are among the largest employers of medical assistants in the state.
Top Employers in North Carolina
- Duke Health: Employs over 650 medical assistants across its clinics in the Triangle area.
- Novant Health: Offers positions in hospitals and outpatient clinics, emphasizing career advancement.
- Atrium Health: Provides extensive training resources and opportunities for growth within its facilities.
Job Market Insights
The growing demand for medical assistants is driven by an aging population and expanded access to medical services. In North Carolina, metropolitan areas like Charlotte and Raleigh-Durham offer the highest concentrations of medical assistant roles.
6. Maintain Certification
Certified medical assistants must renew their credential every five years. The renewal process includes earning continuing education credits or retaking the certification exam.
Continuing Education Requirements
- Sixty continuing education points, with at least thirty from AAMA-approved programs, are required for renewal.
- Attending workshops, completing online courses, or participating in professional conferences can fulfill these requirements.
Failure to meet renewal deadlines requires retaking the CMA exam to maintain certification.
Licensure in North Carolina
Medical assistants in North Carolina are not required to hold a state license. However, employers often prefer candidates with certification and formal training. Accredited programs and certification exams equip candidates with the skills needed to excel in the field. For more details, refer to the state-by-state licensing and certification guide.
How Much Do Medical Assistants Make in North Carolina?
The average hourly wage for medical assistants in North Carolina is $19.65, translating to an annual mean salary of $40,880. Urban areas such as Raleigh and Charlotte typically offer higher earning potential, especially for certified professionals. Salary variations depend on factors such as experience, work setting, and additional certifications.
Frequently Asked Questions
What do you need to be a medical assistant in NC?
A high school diploma or GED is required to pursue this career. Most employers prefer candidates who have completed formal training from an accredited medical assistant program and earned certification.
How long does it take to become a medical assistant in North Carolina?
Becoming a medical assistant can take nine to twenty-four months, depending on whether you pursue a certificate, diploma, or associate degree.
Can you become a CMA without going to school?
No, the Certified Medical Assistant (CMA) credential requires completing an accredited medical assistant program before sitting for the exam.
Can you be a medical assistant without certification in North Carolina?
Yes, certification is not legally required in North Carolina. However, earning a credential like the CMA or RMA can significantly improve job prospects and salary potential.
Start Your Medical Assistant Career Journey
Medical assistants play a vital role in modern health care delivery, combining clinical expertise with administrative skills to support both patients and providers. The position offers flexibility in work settings, from small private practices to large hospital systems, allowing you to find an environment that matches your career goals and work-life preferences.
Ready to take the first step? Browse our comprehensive directory of Medical Assistant programs in North Carolina to find accredited schools near you. Each program listing includes detailed information about curriculum, clinical training opportunities, and admission requirements to help you make an informed decision about your education.

