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
9 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.
Remofirst was founded in 2021, remote-first since the very beginning. Our mission is to simplify the way companies build remote teams. We believe in people, excellence, and delivery. Our pricing starts at $199/month...
Top Services:
HR Outsourcing
Accounting
Customer Support
Location
San Francisco, California
Number of Employees
50 - 99
Minimal Budget
Under $1,000
Remofirst Services
HR Outsourcing
Accounting
Customer Support
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Mastercard
University of Cambridge
Zocdoc
Labster
Microsoft
Data sourced from the agency's DesignRush profile
Remofirst Reviews & Testimonials
Janice Kay Mamo Human Resources Manager at Weavr
5.0★
Customer Support Review from Janice Kay Mamo
Remofirst provided outstanding support for our remote team, making the entire process seamless and stress-free. Their dedicated account manager handled everything efficiently, from work permits to onboarding team members across multiple countries. Their personalized approach and streamlined EoR service exceeded our expectations. Highly recommended for hassle-free global workforce management!
Martin P. Head of Marketing at BetVictor
5.0★
Customer Support Review from Martin P.
RemoFirst enables me to work remotely and stay compliant in my home country. It’s also very helpful for submitting and managing expenses, making it a great addition to my primary HR platform with its admin features. The platform is simple, intuitive, and easy to navigate, with more than adequate functionality for getting things done efficiently.
Kaniyet Rayev Co-Founder and CEO at Appboxo
5.0★
Customer Support Review from Kaniyet Rayev
RemoFirst’s pricing stood out to me among competitors, along with their 24-hour support, which is important when you’re hiring people around the world. Their platform has been easy to use and our onboardings have been smooth. I would definitely recommend using RemoFirst as your EOR for any global hires.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
Gutsy Money is a bookkeeping and business advisory firm committed to empowering female founders & entrepreneurs to set solid business financial foundations in order to experience confidence, freedom, and exponential wealth...
Top Services:
Accounting
Location
Broomfield, Colorado
Number of Employees
Under 49
Minimal Budget
Under $1,000
Gutsy Money Services
Accounting
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Your Finance Team Bookkeeping, Accounting & Strategy for One Monthly Price
CoCountant gives you a fully managed finance team that handles your books, reporting, and financial questions all for a fixed monthly fee. We work with startups and growing businesses that are tired of inconsistent freelancers, bloated firms, and DIY tools that only get you halfway there...
Top Services:
Accounting
Location
Cambridge, Massachusetts
Number of Employees
50 - 99
Average Hourly Rate
$25/hr
Minimal Budget
Under $1,000
Portfolios Count
3 Projects Listed
CoCountant Services
Accounting
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Acuity is a technology-driven accounting and financial services firm that provides bookkeeping, tax, controller, CFO, and advisory solutions for entrepreneurs and growing businesses. The company combines dedicated financial experts, proven processes, and modern cloud-based accounting technology to help...
Top Services:
Accounting
Location
Atlanta, Georgia
Number of Employees
1000 & Up
Average Hourly Rate
$162/hr
Minimal Budget
Under $1,000
Acuity Accounting Services
Accounting
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Spanx
Greenlight
StudioHawk
Data sourced from the agency's DesignRush profile
Acuity Accounting Reviews & Testimonials
Cameron Weiss Review from Google
1.0★
Cameron Weiss's Review Sourced from Google
Extremely Disappointing Experience with Acuity Bookkeeping and Accounting ServicesI hired Acuity to help with bookkeeping and accounting, but the results were frustrating and unprofessional. Instead of properly categorizing transactions and providing accurate reports, almost everything was labeled as "uncategorized," making the books completely unreliable.They set up several automated apps that required me to pay extra subscription fees. None of these tools integrated correctly, and they only made the situation more confusing. Rather than helping me gain financial clarity, their system created more problems and wasted both time and money.I was hoping for experienced support and clean financial records, but what I received was a disorganized mess. I would not recommend Acuity to anyone looking for dependable accounting services.
Yonas Yemane Review from Google
5.0★
Yonas Yemane's Review Sourced from Google
Working with Acuity was an excellent experience. They truly understand entrepreneurs and delivered clear financial insights that helped us make smarter business decisions.
Krissy Zilli Review from Google
5.0★
Krissy Zilli's Review Sourced from Google
We we're in a predicament looking at cash-basis accounting to steer our decision-making at the risk of not understanding the true performance of our business. Abby is the BEST, most-knowledgable controller and so easy to communicate with regardless of your inherent accounting knowledge. Acuity has been transformational in moving our financial statements from super lumpy, cash basis to accrual. Amidst our work together, she's been willing to work through low-level transactional work with a smile as well as offering a high-level consultative look at our business, big picture. Can't recommend her enough for your ecommerce struggles!! She has made everything crystal clear and I've even developed my own skills as finance/ops director knowing her. @Acuity - do not lose this shining star!!
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
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
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Location
Houston, Texas
Number of Employees
Under 49
Average Hourly Rate
$20/hr
Minimal Budget
Under $1,000
Portfolios Count
12 Projects Listed
FutureMD Solutions Services
BPO
Transcription Services
Business Consulting
Accounting
AI Development
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Health 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
Data sourced from the agency's DesignRush profile
FutureMD Solutions Reviews & Testimonials
Texas Medical Supply. Review from Google
5.0★
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 Review from Google
5.0★
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."
angelic lopez Review from Google
5.0★
angelic lopez's Review Sourced from Google
"As a new clinic, we needed an affordable EHR and medical biting iodTpartner. Futuremd set up talkEHR /EHR for us for very minimum setup fee, handled credentialing, and managed billing seamlessly. Great service, transparent pricing, and excellent customer support."
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
OverviewKemper CPA Group LLP leadership and staff are committed to one basic business principle throughout each engagement: Each client is a referral for one more. Therefore, each client interaction is treated as an opportunity to create a “Raving Fan” through the passionate pursuit of exceeding...
Top Services:
Accounting
Business Consulting
Location
Evansville, Indiana
Number of Employees
250 - 499
Minimal Budget
Under $1,000
Kemper CPA Group Services
Accounting
Business Consulting
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Payroll & Tax
Accounting & Auditing
Bookkeeping
Data sourced from the agency's DesignRush profile
Kemper CPA Group Reviews & Testimonials
Sherry Wright Review from Google
5.0★
Sherry Wright's Review Sourced from Google
I am the business manager for a medical practice in Newburgh, IN. I have been a manger for over 30 yrs. Kemper is the best that I have dealt with by far. Their customer service and knowledge out weighs any I have ever experienced. Nathaniel our IT go to guy, is awesome. He always answers his calls no matter what time of day or night and is always on it. He attends to all of our needs from small to huge, he is an all around great guy. John our CPA is just as awesome. Always friendly, very helpfu when you are stressed out, very knowledgable and doesn't make you feel inapt. From the receptionist to all the IT and even the partners, couldn't ask for a better of group of people to work with. Thank you, Kemper!
Robert Bruck Review from Google
5.0★
Robert Bruck's Review Sourced from Google
Kemper was able to fix my QB issues quickly. Very professional and easy to work with.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
Compass CPA, PC, we provide top-notch Virtual Controller, Accountant, and CFO services for a fraction of the cost of in-house hires. Our dedicated team of virtual accountants, CPAs, and tax professionals helps you achieve business goals with comprehensive financial reporting, forecasting, and tax...
Top Services:
Accounting
Business Consulting
Location
San Rafael, California
Number of Employees
Under 49
Minimal Budget
Under $1,000
Compass CPA, P.C. Services
Accounting
Business Consulting
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
KleerCard Inc
Rainmaker Games
Poplar Technologies Inc
Lifeboost LLC
Dive With Buddy
The Institutes for the Achievement of Human Potent
Serving clients who need Assistance in Accounting, Tax Preparation & Payroll Processing.
BusAcTa Advisors is a business consulting firm specializing in strategic growth and operational excellence for small to mid-sized enterprises. With a keen focus on tailored solutions, we offer expert guidance in areas such as financial planning, market expansion, and process optimization...
Top Services:
Accounting
Business Consulting
Location
New York City, New York
Number of Employees
Under 49
Average Hourly Rate
$10/hr
Minimal Budget
Under $1,000
BusAcTa Advisors LLP Services
Accounting
Business Consulting
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
ProfitWerx helps Oregon business owners gain clarity, consistency, and confidence in their finances and online presence. Based in Klamath Falls, we provide full-cycle bookkeeping services including setup, cleanup, and catch-up accounting, along with expert web design and SEO to help local businesses get found...
Top Services:
Accounting
Web Design
SEO
Location
Klamath Falls, Oregon
Number of Employees
Under 49
Minimal Budget
Under $1,000
ProfitWerx, LLC Services
Accounting
Web Design
SEO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
TableRun
6th Street Grill
Once Famous Grill
Data sourced from the agency's DesignRush profile
ProfitWerx, LLC Reviews & Testimonials
Drew Patzke Review from Google
5.0★
Drew Patzke's Review Sourced from Google
ProfitWerx was great to work with. James helped us catch up on one year of bookkeeping and was very patient and clear in explaining everything, especially since we have no accounting or bookkeeping background. He communicated throughout the process to ensure everything was done correctly, and his services were thorough, timely, and affordable for our small business. We were so impressed that we’ve decided to keep him on as our bookkeeper going forward. Highly recommend!
Kaitlin Patzke Review from Google
5.0★
Kaitlin Patzke's Review Sourced from Google
We had a great experience working with James at ProfitWerx. He helped us build our website, improve our search engine optimization, and create a booking system that made our event rental business much more automated and efficient for customers. Since working with him, our online presence has grown and our revenue has increased. Pricing is affordable, communication was clear and consistent, and the entire process was smooth. Highly recommend ProfitWerx!
Tyler Pettigrew Review from Google
5.0★
Tyler Pettigrew's Review Sourced from Google
ProfitWerx completely improved our online visibility!We hired ProfitWerx for SEO, and the results have been outstanding. Our rankings jumped faster than expected, and we’re now showing up on Google for searches we never appeared in before. Traffic is up, leads are up, and the monthly reports make it easy to see exactly what’s working.They took time to explain everything, cleaned up our site, fixed technical issues we didn’t even know about, and built a smart strategy tailored to our business. If you want real SEO results from someone who actually cares about your success, ProfitWerx is the way to go. Highly recommend!
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
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.