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How much do mohs surgery assistant jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for mohs surgery assistant in the United States is $20.59, according to ZipRecruiter salary data. Most workers in this role earn between $16.11 and $22.60 per hour, depending on experience, location, and employer.

What is a Mohs Surgery Assistant?

Mohs Surgery Assistants are specialized medical professionals who support dermatologists during Mohs micrographic surgery, a precise technique for treating skin cancer. Their responsibilities include preparing surgical instruments, assisting with tissue processing, maintaining a sterile environment, and providing patient care before, during, and after the procedure. They may also handle administrative tasks, such as scheduling and record-keeping, to ensure the smooth operation of the surgical practice. Their expertise helps ensure the procedure is efficient and successful, contributing to optimal patient outcomes.

What are the key skills and qualifications needed to thrive as a Mohs Surgery Assistant?

To thrive as a Mohs Surgery Assistant, you need a solid background in medical assisting, sterile technique, and histology, usually supported by a medical assistant certification or relevant experience. Familiarity with surgical instruments, cryostats, pathology lab equipment, and electronic medical record (EMR) systems is typically required. Attention to detail, strong organizational skills, and effective communication are essential soft skills for this role. These abilities are crucial to ensure safe, efficient surgical procedures and accurate tissue processing in high-pressure dermatologic settings.

What are some common challenges faced by Mohs Surgery Assistants in a clinical setting?

Mohs Surgery Assistants often encounter challenges such as managing a fast-paced workflow while maintaining high attention to detail during tissue processing and documentation. They must also balance direct patient care with the technical tasks of preparing specimens and assisting the surgeon, all while ensuring strict adherence to sterile techniques. Additionally, effective communication and coordination with the surgical team are essential, as they often need to anticipate the surgeon’s needs and respond quickly to changes during procedures.

What is the difference between Mohs Surgery Assistant vs Surgical Technologist?

AspectMohs Surgery AssistantSurgical Technologist
CredentialsCertified or trained in dermatology proceduresCertified or registered in surgical technology
Work EnvironmentDermatology clinics, Mohs surgery centersHospitals, surgical centers, clinics
Industry UsageSpecialized in dermatologic and Mohs proceduresGeneral surgical settings across specialties
Job FocusAssisting with Mohs surgery, patient prep, instrument handlingPreparing operating rooms, passing instruments, assisting during surgeries

While both roles support surgical procedures, Mohs Surgery Assistants specialize in dermatologic and Mohs-specific procedures, focusing on patient prep and assisting during skin cancer surgeries. Surgical Technologists have a broader scope across various surgical fields, preparing operating rooms and assisting in multiple types of surgeries. The roles overlap in certification and work environment but differ in specialization and daily responsibilities.

Is it hard to become a Mohs Surgery Assistant?

Becoming a Mohs Surgery Assistant typically requires a high school diploma or equivalent, along with relevant experience or training in medical assisting or dermatology. The role involves learning specific procedures and tools used in Mohs surgery, and some positions may require certification or on-the-job training, but it is generally accessible with the right background and skills. The difficulty varies depending on individual experience and the employer's requirements.
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Mohs Surgery Assistant jobs near you
Infographic showing various Mohs Surgery Assistant job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 75% Full Time, 20% Part Time, 1% Temporary, and 2% Contract. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution, with an average salary of $42,819 per year, or $20.6 per hour.

Mohs Micrographic Surgeon

CC DERMATOLOGY MSO LLC

Salem, OR

Full-time

Re-posted 16 days ago

Job description

Description

 Summary 

The Mohs Micrographic Surgeon is a board-certified or fellowship-trained dermatologist specializing in the surgical treatment of skin cancer using Mohs micrographic surgery. This role is responsible for the precise excision of cutaneous malignancies, immediate histologic evaluation of surgical margins, and reconstruction of surgical defects.

The Mohs Surgeon plays a critical role in delivering high-quality, patient-centered care while maintaining optimal clinical outcomes, efficiency, and safety in a high-volume dermatologic surgery setting.

ESSENTIAL DUTIES & RESPONSIBILITIES

Clinical & Surgical Care

  • Perform Mohs micrographic surgery for the treatment of skin cancers, including basal cell carcinoma, squamous cell carcinoma,      and select melanomas
  • Evaluate and manage patients pre-operatively and post-operatively
  • Interpret frozen section histopathology slides to ensure complete tumor removal
  • Perform surgical reconstruction, including primary closures, flaps, and grafts
  • Manage surgical complications and provide appropriate follow-up care

Pathology & Laboratory Oversight

  • Oversee and participate in the preparation, processing, and interpretation of Mohs histology slides
  • Ensure quality control and accuracy in tissue mapping and margin assessment
  • Maintain compliance with laboratory regulations and standards

Patient Care & Experience

  • Provide compassionate, patient-centered care throughout the surgical process
  • Educate patients on diagnoses, procedures, risks, benefits, and post-operative care
  • Ensure a high level of patient satisfaction and clinical excellence

Collaboration & Leadership

  • Work closely with dermatologists, advanced practice providers, and clinical staff
  • Supervise and support Mohs technicians, histotechnologists, and surgical assistants
  • Contribute to clinical protocols, workflow optimization, and quality improvement initiatives
  • Serve as a clinical leader within the practice

Documentation & Compliance

  • Accurately document all patient encounters, procedures, and pathology findings in the EMR
  • Ensure timely completion of operative reports and billing documentation
  • Adhere to HIPAA, OSHA, CLIA, and all applicable federal and state regulations
  • Maintain appropriate coding and billing practices for surgical procedures

Requirements

 Education & Training

  • Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO)
  • Completion of an accredited Dermatology Residency Program
  • Completion of an accredited Mohs Micrographic Surgery Fellowship (ACGME-accredited or equivalent)

Licensure & Certification

  • Active and unrestricted medical license in the State of [Insert State(s)]
  • Board Certified in Dermatology (or Board Eligible with certification in progress)
  • Fellowship-trained in Mohs Micrographic Surgery
  • DEA license

Experience

  • Proven experience performing Mohs surgery independently
  • Expertise in complex closures, flaps, and grafts
  • Experience in high-volume surgical dermatology settings preferred

Knowledge, Skills & Abilities

  • Advanced expertise in cutaneous oncology and Mohs surgery techniques
  • Strong proficiency in histopathologic interpretation of frozen sections
  • Excellent surgical precision and reconstructive skills
  • Strong clinical judgment and decision-making ability
  • Effective communication and interpersonal skills
  • Ability to work efficiently in a high-volume, fast-paced environment

PROFESSIONAL ATTRIBUTES

  • Commitment to clinical excellence and superior patient outcomes
  • High ethical standards, professionalism, and integrity
  • Leadership mindset with strong team collaboration skills
  • Patient-focused approach with excellent bedside manner
  • Dedication to continuous learning and innovation

PHYSICAL REQUIREMENTS

  • Ability to stand for prolonged periods during surgical procedures
  • High level of manual dexterity and fine motor skills
  • Visual acuity for surgical and microscopic work

WORK ENVIRONMENT

  • High-volume dermatologic surgery center with on-site Mohs laboratory
  • Collaborative, team-based clinical environment
  • Frequent interaction with patients, providers, and surgical staff

FLEXIBILITY CLAUSE

This job description is intended to provide a general overview of the role. The Practice reserves the right to modify duties and responsibilities as needed to meet clinical and operational needs.

Practice Highlights:

  • Established referral base with strong surgical volume
  • Dedicated Mohs lab and experienced histotechnicians
  • Advanced equipment and clinical support staff

Compensation & Benefits:

  • Competitive base salary + productivity model (collections based)
  • Sign-on bonus and relocation assistance
  • Partnership/equity opportunity (if applicable)
  • CME allowance and professional development support

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