How to Become a Medical Assistant in Washington

Purdue University Global
Online Medical Assistant Certificate
B.S. in Health Studies

Bigger, better, more innovative healthcare systems resulting from years of acquisitions, mergers, joint ventures, and expansions now dot much of the landscape in Western Washington. Large physician groups, urgent care centers, specialty clinics, and more have popped up seemingly everywhere in the Greater Seattle Area, Bellevue and throughout the Eastside, providing residents here with more healthcare options than ever.  At the same time, it’s providing medical assistants with more professional opportunities than ever before.

As expected, forecasts for job growth in the medical assisting profession in the coming years reflect this boom taking place in the construction of new medical facilities. According to projections from the Washington State Employment Security Department, the number of medical assistants here will grow by 4% in just the few, short years between 2019 and 2021.

With about 2,020 annual job openings here due to a combination of retirement, normal attrition and new job growth, you can expect an exceptionally strong job market waiting for you once you’ve got the training and credentials to confidently walk into your first job interview as a competitive candidate.

Here are the steps you’ll need to take to get that training and become a licensed medical assistant in Washington:

Learn About Medical Assistant Career Paths in Washington
Become a Qualified Medical Assistant
Apply for a Washington Medical Assistant License
Find a Job in Medical Assisting You’ll Love

The Washington State Department of Health has comprehensive regulations in place for medical assistants that include licensure and a defined scope of practice.

Washington law defines four different types of medical assistants, each with unique licensing requirements:

  • Medical Assistant – Certified
  • Medical Assistant – Registered
  • Medical Assistant – Hemodialysis Technician
  • Medical Assistant – Phlebotomist



Step 1. Learn About Medical Assistant Career Paths in Washington

The Washington State Department of Health’s licensing requirements for the four recognized medical assistant designations are:

Medical Assistant – Certified

To become a Medical Assistant–Certified in Washington, you must complete a recognized course of education and pass an examination.

First, you’ll need to complete one of the following:

  • Graduate from a medical assisting training program that is accredited by either the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the Accrediting Bureau of Health Education Schools (ABHES); OR
  • Graduate from a college or university that is accredited by a regional or national accrediting agency approved by the US Department of Education. This program must be comprised of at least 720 hours of medical assistant training, including at least 160 hours in a clinical externship; OR
  • Graduate from an apprentice program that is approved by the state; OR
  • Complete at least 720 hours of medical assistant college education; OR
  • Earn an equivalent amount of military training that is related to medical assisting

Then you’ll need to pass one of the following examinations through its respective national certifying agency:

If you meet the education requirements but have not yet taken an exam, you can also apply for a temporary interim certification that will allow you to practice as a medical assistant while you wait to take an exam.

Medical Assistant – Registered

To become a Medical Assistant–Registered, you won’t need to meet any education or exam requirements; however, expect limited employment options and smaller wages.

To becoming a Medical Assistant–Registered, your employer must complete a Healthcare Practitioner Endorsement that clearly states the tasks delegated to you. You are only allowed to work for an employer who has agreed to fill out this form on your behalf.

Before your Medical Assistant–Registered license is issued, you must also complete seven hours of AIDS training and education.

Medical Assistant – Hemodialysis Technician

You must complete a specific course of education to become a Medical Assistant–Hemodialysis Technician in Washington.

You will need to meet one of the following requirements to receive a license in this area of expertise:

  • Complete a hemodialysis program that:
    • Is approved by your employer’s medical director and governing members
    • Is under the direction of a nurse
    • Is focused on kidney dialysis machines and equipment
    • Provides direct patient care including sensitivity training
  • Earn a national credential as a hemodialysis technician that includes the study of:
    • Principles of dialysis and fluid management
    • Caring for patients with kidney failure
    • Dialysis documentation and procedures
    • Laboratory testing procedures and critical alert values
    • Dialysis emergencies and other complications arising from dialysis
    • Safety and infection control
    • Dialysis medication use and side effects
  • Complete an equivalent training program or experience as part of the US military

You must also demonstrate basic math skills and provide proof of a current CPR certification and seven hours of AIDS training.

Medical Assistant – Phlebotomist

To become a licensed Medical Assistant–Phlebotomist, you must complete seven hours of AIDS training and meet one of the following education requirements:

  • Complete a college or university phlebotomy training program that is regionally accredited or accredited by an institution approved by the US Department of Education
  • Complete a phlebotomy training program that is approved by your employer
  • Have an equivalent training or education through the US military



Step 2. Become a Qualified Medical Assistant

Education should be your first pursuit if you want to become a medical assistant in Washington.

Completing a certificate, diploma, or associate degree program that’s accredited by either the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the Accrediting Bureau of Health Education Schools (ABHES) ensures your eligibility to become a Medical Assistant – Certified.

Regardless of whether you choose an accredited certificate, diploma, or associate degree program, you’ll complete a similar course of education and practical training in medical assisting, which includes an internship/field experience and courses covering topics like:

  • Medical assistant terminology
  • Medical assistant emergency procedures
  • Anatomy and physiology
  • Pharmacology
  • Medical assistant clinical and administrative procedures
  • Medical insurance billing and coding
  • Software applications and medical assistant computer operations

However, while a certificate or diploma takes about 10-12 months to complete, an associate’s degree takes about 2 years to complete because it also includes a general education core – a group of courses covering mathematics, the social sciences, the physical sciences, communications, and more.

The additional time it takes to complete an associate’s degree is time well spent because it often results in better/more varied professional opportunities and higher wages. Many top healthcare employers prefer candidates with an associate’s degree because the addition of a general education core produces well-rounded medical assistants with stronger communication and analytical skills.



Step 3. Apply for a Washington Medical Assistant License

Once you have met the requirements for the type of medical assistant license you are applying for, you’ll apply through the Washington State Department of Health:

All medical assistant licenses in Washington expire every two years on your birthday. You can renew your medical assistant license online, through the mail, or in person at the Department of Health’s office located at:

Town Center 2
111 Israel Rd SE
Tumwater, WA 98501

As you develop your career as a medical assistant, you may also consider a bachelor’s degree or more advanced credential in the medical sciences, which can open additional career doors and improve your qualifications for the most competitive medical assistant jobs in Washington.

If you have aspirations of continuing your education at the bachelor’s level at some point, you’ll benefit from completing an Associate of Science (AS) in Medical Assisting, as most or all of the courses of these programs easily transfer to bachelor’s degrees in healthcare-related fields like healthcare administration, nursing, healthcare informatics, and public health.



Step 4. Find a Job in Medical Assisting You’ll Love

Once you become a licensed medical assistant in Washington, you’ll benefit from joining a professional association like the Washington State Society of Medical Assistants (WSSMA), which is a great resource when it comes time to find continuing education opportunities, attend networking events, or learn about the latest employment opportunities.

Start your job search with Washington’s largest healthcare systems and you’re likely to find some of the best opportunities in medical assisting:

  • EvergreenHealth Kirkland, Kirkland
  • Harborview Medical Center, Seattle
  • Kadlec Regional Medical Center, Richland
  • Multicare Tacoma General Hospital, Tacoma
  • Providence Regional Medical Center Everett, Everett
  • Providence Saint Peter Hospital, Olympia
  • Saint Joseph Medical Center, Tacoma
  • Swedish First Hill Campus, Seattle
  • University of Washington Medical Center – Montlake, Seattle
  • Virginia Mason Hospital and Seattle Medical Center, Seattle


2019 job growth projections from the Washington State Employment Security Department are aggregated through the U.S. Department of Labor-Sponsored resource, Projections Central. Employment conditions in your area may vary. 

All salary and employment data accessed July 2020.

Back to Top