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.
Discover the Best Accounting Firms in the US
191 Companies-Rankings updated: September 04, 2026
Every accounting firm featured on DesignRush is evaluated for service scope, compliance expertise, and verified client feedback. Some featured placements may be paid.
The Dental Services is a US-based dental business solutions provider specializing in billing, credentialing, and practice support services, helping dental clinics streamline operations and improve financial performance through efficient and compliant processes...
Allianze Infosolution is a leading BPO and AI data automation company in the USA offering data processing, virtual assistance, finance, healthcare, and engineering solutions...
We are a regional professional services firm with services in Accounting, Tax, Audit, Consulting, Business Valuation, Insurance, Financial Services, Marketing, Human Resources, IT and more! We seek to provide a holistic approach of services to our clients to help them achieve their goals in business and life...
HelloMDs streamlines medical billing through smart, technology-driven solutions that increase revenue, minimize claim denials, and simplify the entire RCM process. Supporting 80+ practices across 48+ specialties, we enable healthcare providers to focus on patient care while we manage billing with accuracy...
We Delivering Excellence In Every Aspect Our Their Work
Outsource Work is an Outstaffing Company specializing in Finance Recruitment and Bookkeeping Services. We help businesses hire skilled Ukrainian professionals who deliver accuracy, reliability, and cost savings of up to 70%...
iCareBilling is a private American Healthcare IT Company that provides Insurance Credentialing, Medical Billing and other services to the healthcare industry across the United States, integrating services with any EHR, Practice Management, or Medical Billing Software...
Go4Customer specializes in call center outsourcing, offering innovative and performance-driven customer support solutions across various industries. Through advanced technology, in-depth insights and industry expertise, we provide a comprehensive approach that covers voice, live chat, email and social media...
A leader in providing Medical Credentialing, Licensing & Billing services nationwide. Our mission is to simplify the administrative challenges faced by healthcare providers. We provide services for physician group practices, medical laboratories, skilled nursing facilities, telehealth & more...
Aspen HR: Expert PEO Solutions for Dynamic Business Growth. Offering specialized HR services, payroll management, and comprehensive benefits in a white-glove approach, catering to diverse industries including technology and finance. Renowned for personalized client service and a robust national presence...
Whether it's websites, marketing, advertising, contracts, business filing, or software solutions. We have you covered. Everything custom and made to order, according to your needs and specifications...
Boost productivity & profitability by outsourcing to the Philippines with STAFFVIRTUAL
Customer service, back office, and IT outsourcing are the areas of expertise of STAFFVIRTUAL, an American business process outsourcing (BPO) firm with offices in the Philippines. Additionally, we offer Employer of Record (EOR) or Professional Employer Organization (PEO) solutions. It is simple for your...
SysMD delivers smart, efficient healthcare solutions through expert revenue cycle management, medical billing, credentialing, coding, and transcription services. Founded in 2020, we help medical practices boost profitability, reduce administrative burdens, and stay compliant. Our team blends deep industry...
Bridging The Gap Between Affordable Talent And Global Opportunities
DivVerse LLC is a technology outsourcing and staff augmentation company located in the US. We specialize in fulfilling software development and AI talent from Africa, for startups and small-medium tech enabled organizations in the US looking to build affordable and highly efficient offshore teams...
Big Outsource, a leading BPO company, specializes in outsourcing solutions, from project-based services to virtual captive centers. Our expertise spans creative, technical support, and IT disciplines, making us your trusted partner for outsourcing excellence...
Envision Circle is an innovative software solutions company. We are specialised in providing software solutions for ecommerce platforms, travel agencies and customer relationship management...
Merchant Bottom Line mission is to help small businesses get found on the Internet. We believe the business owner should focus on their business while we focus our attention on their Internet presence. We design and create very SEO friendly website pages and provide social medias and or eCommerce if needed...
MindSpace was founded in 2007 and offers bookkeeping outsourcing and accounting outsourcing services to individuals and SME’s who are based in the US, UK, Canada, Ireland, and Australia...
Vasquez CPA, an esteemed accounting firm, boasts over 50 years of industry expertise, ranking in the top 1% of accounting firms in the United States. With a presence across eight offices and a dedicated team of 250 seasoned professionals, Vasquez CPA prioritizes client success through tailored solutions and...
Jones, Schiller & Company, established in the early 1950s, has evolved into a full-service accounting firm offering a comprehensive suite of services to individuals and businesses worldwide. With offices in San Francisco and Marin County, California, its team provides personalized attention and timely...
Professional Accounting Solutions for Business Growth
Centaur Digital Accounting supports small business owners with expertly tailored tax and accounting solutions. The firm offers personalized tax strategies and innovative tools like Gusto and QuickBooks Online to maintain accurate financial records and maximize savings. Centaur Digital Accounting builds...
KRD provides comprehensive accounting services, including tax, audit, assurance, consulting, and wealth planning for high-net-worth individuals and businesses in Chicago, Illinois. With four decades of experience, KRD delivers personalized, strategic financial solutions tailored to clients' diverse business...
Akram & Associates is a full-service accounting firm specializing in assurance, advisory, and tax services for hedge funds, cryptocurrency funds, investors, traders, family offices, and high-net-worth individuals. Since 2013, the firm has provided tailored accounting solutions, maximizing after-tax income...
Feeling bogged down by bookkeeping and financial tasks? Let Key Carrier Accounting be your secret weapon. We're a comprehensive outsourcing solution designed to streamline your financial processes and free you to focus on what matters most - running your business...
Flat-Rate Accounting & Bookkeeping for Growth-Minded Businesses
Located at the heart of Washington D.C. Bay Business Group (BBG) isn't your average accounting firm. We're a team of passionate experts dedicated to helping businesses like yours achieve their financial goals...
Upsourced delivers reliable financial strategy and accounting services exclusively to creative agencies. Its team offers a deep understanding of the unique financial needs within the industry, driving agencies toward improved performance. Combining innovative approaches with practical solutions, Upsourced...
H&CO is a premier accounting and business advisory firm specializing in international tax, audit and assurance, and global outsourcing solutions. With a mission to empower clients globally, H&CO provides tailored solutions that drive monetary success and operational efficiency. The firm's extensive experience...
Greenlight Financial delivers tailored accounting solutions for small to medium-sized businesses, focusing on maximizing cost efficiency and financial strategy. With over 30 years of collective experience, the firm provides expert bookkeeping, tax planning, and international business transition services...
Gray, Gray & Gray provides comprehensive accounting services to drive growth and enhance profitability. With expertise spanning consulting, audit, tax, and private wealth management, the firm delivers tailored solutions that address complex financial challenges. Its commitment to personalized service and...
Lindquist, von Husen & Joyce (LvHJ) provides expert accounting services that cater to housing companies, nonprofit organizations, and business leaders. The firm offers strategic financial guidance and continuous insights to enhance reporting and transactions. Its team makes a meaningful impact through...
Dannible & McKee provides comprehensive accounting, tax, forensic, and advisory services to help businesses make informed financial decisions. With a blend of deep expertise and global reach through GGI Global Alliance, the firm delivers tailored solutions that inspire confidence and drive success. Clients...
NKSFB delivers premier business management services to high-net-worth individuals, including top artists, athletes, and executives. With a global presence and a team of over 650 professionals, the firm excels in business management, recording artist services, tax, and audit. The firm's distinguished...
White Nelson Diehl Evans is a leading accounting firm committed to delivering exceptional financial management services. Its expertise spans wealth advisory, audit, tax, consulting, and digital solutions, integrating artificial intelligence (AI) technology to enhance operational efficiency. With a...
Windes seamlessly blends tradition with innovation to provide comprehensive accounting and advisory services. With expertise spanning advisory, audit, and tax, the firm tailors solutions for privately held businesses, nonprofits, and high-net-worth individuals. Windes leverages cutting-edge technology and a...
Rayvat Accounting specializes in streamlining financial management for small and medium businesses. Offering comprehensive outsourced solutions, including bookkeeping, payroll, and tax preparation, the firm helps clients solve complex accounting challenges. Its personalized approach and expertise help...
212 Tax specializes in back tax resolution for clients across New York, Florida, and New Jersey. With expertise in eliminating tax issues and providing tailored tax strategies, the firm helps clients reduce stress and regain control of their finances. 212 Tax's direct approach ensures clients collaborate with...
Legacy Professionals is a specialized accounting firm serving employee benefit plans, labor organizations, non-profits, and commercial clients. With decades of experience and a commitment to client success, its team of 31 partners and over 180 professionals delivers tailored audit, accounting, tax, and...
Cherry Bekaert Advisory is a premier national accounting and advisory firm, driving growth with tailored, industry-focused solutions. Its team of over 2,500 professionals delivers expert tax, advisory, and assurance services. Committed to empowering clients and reimagining the future, Cherry Bekaert Advisory...
Sassetti delivers accounting and consulting services to high-growth businesses, emphasizing personalized and strategic solutions. Founded in 1921, the firm combines deep industry expertise with a commitment to diversity and social responsibility. Sassetti offers tax planning, assurance, advisory, consulting...
Tronconi Segarra & Associates delivers expert accounting and consulting services focused on innovative solutions. The firm assists clients across various sectors, including business acquisitions, tax optimization, and estate planning. Tronconi Segarra & Associates' dedicated team offers tailored strategies to...
Fuoco Group is a nationally recognized accounting firm offering comprehensive tax, audit, and business consulting services. With a strong presence across the East Coast, the firm has built a reputation for excellence since 1996. Fuoco Group specializes in serving industries such as healthcare, construction...
Tonneson + Co is an independently owned accounting firm with over 45 years of experience delivering expert accounting, tax, and advisory services. The firm prides itself on providing personalized guidance and building meaningful client relationships that larger firms often cannot match. With a focus on...
Warady & Davis is an accounting firm offering accounting, tax preparation, audit and advisory, and business valuation services. Established in 1949, the firm has built a reputation for fostering long-term client relationships and delivering tailored solutions to privately-held businesses and high-net-worth...
Sciarabba Walker & Co provides tailored accounting, tax, and consulting services that evolve with the client's financial needs. The firm offers comprehensive solutions for businesses, individuals, and organizations, from expert tax planning and bookkeeping to assurance and peer reviews. With a deep commitment...
Safe Harbor is a reliable accounting firm based in San Francisco, specializing in personalized tax services for businesses and individuals. From tax preparation and bookkeeping to international tax solutions and auditing, the firm's expert team streamlines taxes and maximizes financial success. With a focus...
Fueling Growth With Professional Financial Insights
Katz Nannis + Solomon (KN+S) is a Boston-based accounting firm specializing in audit, tax, and advisory services for early-stage, venture-funded, and entrepreneurial companies. The firm collaborates with clients across industries such as technology, life sciences, and professional services, offering...
Lucas Horsfall, a Pasadena-based accounting firm, provides comprehensive financial services to businesses and individuals, ensuring clarity and confidence at every stage of their journey. Specializing in assurance, tax planning, client accounting, and trust services, the firm helps clients navigate complex...
Hood & Strong is a San Francisco Bay Area-based advisory, tax, and assurance firm with over a century of experience. The firm provides tailored accounting services to individuals, private businesses, and mission-driven organizations, helping clients navigate complex financial challenges. The firm is known for...
Accounting Expertise That Drives Meaningful Growth
FGMK is a dedicated accounting and advisory firm based in Chicago that offers assurance, tax, and business consulting services. Known for hands-on partner involvement, FGMK delivers tailored solutions for businesses, entrepreneurs, and high-net-worth individuals. The firm combines in-depth industry knowledge...
SD Mayer & Associates is a distinguished full-service accounting, advisory, and wealth management firm headquartered in the San Francisco Bay Area. With over 40 years of combined experience, the firm offers comprehensive services, including financial planning, estate planning, tax management, and business...
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.
Proposals