Our directory of top accounting firms in the US is built on five main ranking criteria and reviewed by a team of 12 experts, supported by a 4.1-star average rating from verified client reviews. This gives you a clear and reliable way to choose the best accounting firms for your business.
Organic rankings are determined by five factors: top services, reviews, portfolio, awards/press, and team expertise. Sponsored listings pay for a placement that appears above organic positions. Sponsorship does not affect star ratings or review content - read more on our methodology page.
Most businesses don't have a finance problem. They have a clarity problem.
We help growing businesses see clearly with advisory, accounting, tax, and transaction services that turn financial complexity into competitive advantage...
Top Services:
- Accounting
- Location
- King of Prussia, Pennsylvania
- Number of Employees
- Under 49
- Average Hourly Rate
- $150/hr
- Portfolios Count
- 1 Project Listed
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsSataurius Strategic Consulting Services
Data sourced from the agency's DesignRush profileMkhail Knis Mike Pascale Matt Gehlbach Angela Teagle
Finance Expertise For Growing Businesses
Most businesses can't afford to interview a full-time accountant or HR person - but they need help right now. FlowFi helps businesses find pre-vetted fractional experts for functions ranging from HR, to compliance, to bookkeeping, to fractional CFOs quickly and based on their needs...
Top Services:
- Accounting
- HR Outsourcing
- Business Consulting
- Location
- Los Angeles, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $100/hr
- Minimal Budget
- Under $1,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsFlow Finance Services
Data sourced from the agency's DesignRush profileLive Tinted Fatburger Baton
A Chicago tax and accounting firm that stays with you all year
Heard & Associates LLC is a Chicago tax, accounting and bookkeeping firm founded by Darrel Heard in 2011. From offices in Hyde Park and Olympia Fields, and virtually across the U.S., the team handles individual and business tax preparation, year-round bookkeeping, payroll, IRS notices, business formation...
Top Services:
- Accounting
- Business Consulting
- Location
- Chicago, Illinois
- Number of Employees
- Under 49
- Average Hourly Rate
- $100/hr
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsHeard & Associates LLC Services
Data sourced from the agency's DesignRush profileKenneth L. Dixon Photography Mindful Matters Clinical Counseling Browns Heating & Cooling
Smart Billing Partner
Nationwide medical billing & revenue cycle management for healthcare providers billing, coding, credentialing, and HIPAA-compliant claims support...
Top Services:
- Digital Services
- AEO
- SEO
- PPC
- Accounting
- Show more
- Location
- Madera, California
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- Under $1,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsDocs Medical Billing Services
Data sourced from the agency's DesignRush profileYour Precious Dream Kimberly Riggi Robertson Counselling
Docs Medical Billing Reviews & Testimonials
Kara Brock's Review Sourced from Google
Sam has been excellent for my podiatry practice. He responds quickly and follows through on any concerns. My reimbursement has gone up significantly since transitioning to Docs medical. They also provide credentialing services and have been very helpful
Hema Majeno's Review Sourced from Google
Docs Medical Billing has been helping my practice since I started last year. They get things done on time. They help my front and back staff to check eligibility, they help me set up.portals for insurances, and do their diligence on claims. They also help me find a web designer.I highly recommend them 👌
Catherine Abbaa's Review Sourced from Google
My experience with Peter and his team and the entire Docs Medical Billing LLC in handling my complex billing was very professional, reliable and smooth. The quality of their services far exceeded my expectations. The services was outstanding. I will continue to work with them and recommend them to anyone
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsAll-in-One AI-Powered EHR, Medical Billing & RCM
FutureMD Solutions is a leading nationwide Revenue Cycle Management (RCM) firm providing end-to-end medical billing services to practices across the United States. While we have a strong footprint in the Texas healthcare market, our certified experts serve providers in all 50 states. We specialize in reducing...
Top Services:
- BPO
- Transcription Services
- Business Consulting
- Accounting
- AI Development
- Show more
- Location
- Houston, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- Under $1,000
- Portfolios Count
- 12 Projects Listed
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsFutureMD Solutions Services
Data sourced from the agency's DesignRush profileHealth Care Industry Healthcare Practices Dental Industry Wellness & Fitness Industry Medical and Diagnostic Laboratories Medical Health Care Medical Hospitals Professional Services Industry HR Industry Software & IT Services Industry
FutureMD Solutions Reviews & Testimonials
Sarah Ashitey's Review Sourced from Google
I’m very grateful for the excellent service we’ve received from FutureMD Solutions. Irfan has been professional, responsive, and genuinely committed to helping us with our medical billing and revenue cycle management.What I appreciate most is that Irfan doesn’t just focus on getting the work done. He takes the time to share helpful advice and suggestions that have been valuable to our healthcare business. His dedication and willingness to go the extra mile really stand out.I highly recommend Irfan and the FutureMD Solutions team to healthcare providers looking for dependable medical billing support and a team they can trust.
Texas Medical Supply.'s Review Sourced from Google
FutureMD Solutions is exceptional for compleating our credentialing process in 100 days 5/5 ! Now they are helping us with our DME billing for fast 5 monthes so far very satisfied . our denials are at an all-time low. Highly professional and efficient—highly recommended for any medical equipment supplier!"
Leandro Ansart's Review Sourced from Google
"Switching to FutureMD Solutions completely transformed our medical billing process. Our claim approval rate increased, payments arrive faster, an their EHR system is very easy to use. If you're lookin for reliable medical billing and EHR services in the U this company delivers real results."
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsYour Trusted Outsourcing Partner
Aone Outsourcing helps businesses and CPA firms across the United States manage their accounting operations more efficiently through dedicated bookkeeping, payroll, tax, and financial management services. Our team combines industry expertise, advanced technology, and a commitment to accuracy to deliver...
Top Services:
- Accounting
- Location
- Alameda, California
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $20/hr
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsAone Outsourcing Services
Data sourced from the agency's DesignRush profileRick Sam Olive
Aone Outsourcing Reviews & Testimonials
Akash sharma's Review Sourced from Google
Aone Outsourcing Solutions has been a reliable partner for our accounting needs. Their outsourced accounting and bookkeeping services helped us reduce costs while maintaining accuracy and compliance. Communication is smooth, and the team is very responsive.Definitely recommend Aone Outsourcing to Australian businesses looking to scale efficiently.
Abhishek Rohela's Review Sourced from Google
Aone Outsourcing Services is highly professional and reliable. Their timely delivery, quality work, and excellent customer support make them a great choice for outsourcing needs. Highly recommended !
EC Hawaii's Review Sourced from Google
I had an exceptional experience with Aone Outsourcing! Their team is highly professional and knowledgeable, providing top-notch service with a personal touch. They made the entire process smooth and efficient, exceeding my expectations in every way. Communication was seamless, and their expertise in handling complex tasks was evident from the start. I highly recommend Aone Outsourcing for anyone looking for reliable and quality outsourcing services.
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsReal Estate Accounting Outsourcing Specialist Since 2006
OHI delivers dependable Property Management accounting Services that simplify financial management, improve reporting accuracy, and help property managers stay focused on growing their portfolios...
Top Services:
- Accounting
- Location
- Texas City, Texas
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $5/hr
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsOHI - Real Estate Accounting Services
Data sourced from the agency's DesignRush profileFinance Industry Professional Services Industry Real Estate Industry
OHI - Real Estate Accounting Reviews & Testimonials
aditya soni's Review Sourced from Google
I recently had the pleasure of working with OHI, and I must say, it was an exceptional experience from start to finish. The team was incredibly professional, attentive, and dedicated to ensuring that all my needs were met.
Kunwarpreet Singh's Review Sourced from Google
As I wrap up my time at OHI, I wanted to take a moment to reflect on my journey and share my appreciation for this incredible company. Working with OHI has been nothing short of a transformative experience, and I am truly grateful for the opportunity.From day one, OHI has been more than just a workplace—it’s been a vibrant community of passionate and dedicated individuals. The collaborative spirit and unwavering support from every team member have made my tenure here immensely rewarding. The
Naveen Sharma's Review Sourced from Google
Working at OHI has been an enriching experience. I have been with the company since December 2022, and I can confidently say that it is one of the best places to work.The company culture here is second to none. The leadership team genuinely cares about the well-being and development of every employee. They foster a supportive and collaborative environment where everyone's ideas and contributions are valued. This positive atmosphere makes coming to work every day a pleasure.Professional growth is a key focus at OHI. There are numerous opportunities for learning and advancement, and the company invests in the professional development of its staff through training programs, workshops, and continuous feedback. I have personally grown so much in my role and have been encouraged to pursue my career goals.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
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Every agency is independently vetted before it can be listed or ranked
Some agencies pay for sponsored placement, clearly labeled and held to the same vetting standards.
Frequently Asked Questions About Accounting Companies
At what point should I hire an accounting firm?
Most businesses begin working with one of these companies once financial complexity interferes with daily operations.
While there is no universal threshold, many companies seek professional support when:
- Annual revenue consistently exceeds $100,000-$250,000
- Monthly transaction volume reaches 40-50 or more entries
- Payroll, tax filings, or reporting begin consuming operational time
At those stages, manual bookkeeping becomes inefficient and increases the risk of errors or missed compliance deadlines.
Accounting outsourcing is also driven by efficiency. Around 65% of businesses outsource finance and accounting tasks to free up internal resources and focus on growth.
As requirements expand, they provide structure, accuracy, and regulatory oversight that small internal teams often struggle to maintain.
What accounting services do most top accounting companies offer in the US?
The best accounting firms in the US typically provide a mix of core financial, compliance, and advisory services.
Common offerings include:
- Bookkeeping and bank reconciliations
- Financial statement preparation
- Payroll processing
- Accounts payable and receivable management
- Tax planning and federal, state, and local tax filings
Many firms also offer:
- Budgeting and forecasting
- Cash flow and financial performance analysis
- Audit preparation and internal controls assessments
- Compliance support under U.S. Generally Accepted Accounting Principles (GAAP)
Many businesses outsource several accounting functions at the same time, which is why US companies typically offer these services as bundled, ongoing engagements rather than isolated tasks.
This approach aligns with the scale of the finance and accounting outsourcing market, which stood at $54.79 billion in 2025.
How much does it cost to hire top accounting firms in the United States?
The cost of hiring one of these firms in the United States depends on business size, transaction volume, and service complexity. Typical pricing includes:
- $300-$800 per month for basic bookkeeping and reconciliations
- $150-$400 per hour for specialized CPA services
- $800-$2,500 per month for comprehensive monthly packages (payroll, reporting, tax support)
- $2,500-$5,000+ per month for mid-sized or higher-complexity businesses
At a macro level, the global accounting outsourcing market is expected to exceed $80 billion by 2030, as companies pursue cost efficiencies of 20-60% compared to maintaining full in-house accounting teams.
What additional costs can I expect from these types of companies?
In addition to base retainers, they often charge for specialized or non-recurring services, such as:
- Year-end financial statements
- Multi-state or corporate tax filings
- Audit preparation
- System migrations
- International compliance
- Advisory or consulting projects
Other common add-ons include payroll setup, budgeting assistance, and financial forecasting.
For many growing businesses, these services increase total annual accounting spend by 20-40% beyond base fees.
While this raises short-term costs, outsourcing often reduces overall operating expenses by eliminating the need for full-time internal finance staff and minimizing compliance risks.
What do I need to know before I switch to a top accounting firm?
Switching companies usually involves a transition period of 4-8 weeks. During this time, businesses should be prepared to provide:
- 2-3 years of financial statements
- Prior tax filings
- Payroll records
- Access to accounting software
A brief overlap between outgoing and incoming firms is common and helps:
- Resolve open items
- Prevent reporting gaps
- Ensure continuity of compliance
Planning the transition outside of peak tax or reporting seasons further reduces disruption and operational risk.











