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
100 Companies-Rankings updated: September 01, 2026
Every accounting firm featured on DesignRush is evaluated for service scope, compliance expertise, and verified client feedback. Some featured placements may be paid.
Your Form of Choice - Accounting, Audit, Tax, Analytics, Compliance and Business Services.
Founded in 1935, Capaldi Reynolds & Pelosi CPA, PA, is one of the largest certified public accounting firms in Atlantic and Cape May counties in New Jersey...
Holmes & Company, LLC is an 8(a) certified Minority Business Enterprise accounting firm comprised of CPAs and business advisors based in Cherry Hill, New Jersey. Our goal is to provide financial audits, consulting, and tax preparation services to our clients. By bringing together a team of professionals with...
Whittlesey is the largest regional CPA and IT consulting firm in New England. With offices in Hartford, CT, Hamden, CT, and Holyoke, MA, we provide a comprehensive array of advisory, assurance, tax, and technology services...
At Maxwell Locke & Ritter, we've built our business to address your key milestones. and every moment. Our team provides tax, audit, risk assurance, and transaction advisory services to help achieve your goals. We offer strategic vision and thoughtful advice to navigate today's marketplace...
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...
Aureus Advisory Partners is a tax and financial advisory firm based in Texas, serving individuals, businesses, and athletes across the United States. Led by MJ Cunningham, an IRS Enrolled Agent, we specialize in Payroll Tax Resolution, Tax Strategy, CFO Services, Multi-State Compliance, and NIL Athlete Tax...
Growth is Complicated. We Make it Simple! Complete Medical Billing Solutions for Your Practice.
GreenSense Billing stands as a distinguished leader in the realm of medical billing, dedicated to streamlining billing and coding processes within the healthcare industry. Our paramount goal is to simplify these intricate procedures, strategically minimizing costs while optimizing revenue collection for our...
Let us handle the paperwork, so you can handle the profits.
The Human Resource Consulting Group (HRCG) is your full-service HR consulting and outsourcing firm, offering payroll processing, compliance management, time and attendance, and benefits administration. With over 32 years of experience, we're committed to freeing you from administrative paperwork so you can...
Hiline offers bookkeeping, tax, and payroll services for small businesses, providing tailored financial solutions to streamline operations and support growth...
CareRCM is a U.S.-based medical billing and revenue cycle management company founded in 2016, helping healthcare providers across the United States reduce claim denials, accelerate reimbursements, and maximize revenue...
Global Company Specializing in Tech-Enabled Professional Services
Sikich is a global company specializing in technology-enabled professional services. Now with more than 1,900 employees, it draws on a diverse portfolio of technology solutions to deliver transformative digital strategies and ranks as one of the largest CPA firms in the United States...
Taskforce BPO is an American Veteran owned company whose mission is to provide clients with labor solutions that enable them to focus on their core competencies while increasing productivity and profitability...
A New Jersey Accounting Firm With Four Decades of Business Accounting Experience
Results speak for themselves. In the end, that is what we are all about: supporting and helping you achieve the goals you set for yourself and for your business. That’s why clients and businesses in the tri-state area have trusted the financial health of their businesses to Cg Tax, Audit & Advisory. We are...
Business owners like you are seeking ideas, problem-solvers, and strategies for success. Our firm makes businesses more profitable, more valuable, and able to provide the lifestyle business owners desire...
Schneider Downs is one of the 60 largest public accounting firms in the United States and the fourth-largest public accounting and business advisory firm in Western Pennsylvania. The firm offers more than 80 services from five business units: Assurance and Tax Advisors; Business Advisors; Corporate Finance...
HR Advantage Consultants is a people-centered HR consulting firm that helps businesses build stronger teams, improve workplace practices, and navigate HR challenges with confidence. We provide customized support in recruiting, employee relations, compliance, performance management, training, leadership...
Expert Outsourced CFO Services For Startups And Growing Businesses
At K-38 Consulting, we provide comprehensive CFO services designed to give your business the strategic financial expertise it needs to grow and thrive. From cash flow management to financial planning and tax optimization, we deliver actionable insights that drive smarter business decisions. Partner with us...
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...
Powering Business Intelligence with AI-Driven Data Support
Data-Entry-India.com is a global Data & AI operations partner. Serving 3,850+ clients across 50+ countries, we specialize in enterprise data operations, AI training data services, digital commerce data support, data research and intelligence services, and document and content-related support...
Offering IT training, technology, and business solutions. nTech Workforce is an ISO/IEC 20000-1:2018 and MBE certified organization, based in the greater Baltimore/Washington Metro Area...
Our clients seldom refer to us as their accountant because they’ve come to expect so much more from us. Everything we do for our clients is focused on the growth and sustainability of your organization...
Your Trusted Partner In Virtual Support & Business Efficiency
Prossistant is your trusted partner in business support, streamlining operations, client communication, and back-office processes. Our skilled team delivers tailored assistance across marketing, sales, administration, accounting, paralegal, and technical workflows. Integrated seamlessly into your systems, we...
WNS is a global, digital-led business transformation and services company providing comprehensive data engineering, analytics, AI/GenAI, and business-process services enabling enterprises to modernize data infrastructures, unlock insights, and scale data-driven decision-making...
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...
Medical Credentialing, Payer Contracting, & Billing
Medwave partners with healthcare providers across the USA to keep the revenue cycle running smoothly. Based in Cranberry Township, the team handles medical billing, insurance credentialing (CAQH, NPI, PECOS), and payer enrollment for practices of all sizes plus hands-on support for new practice startups...
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...
Equivity provides dedicated virtual assistant services to individuals, and to entrepreneurs and businesses looking for paralegal, administrative, marketing and bookkeeping support...
Walter & Shuffain is a results-driven firm which serves as the trusted advisors to privately-held businesses and their owners. We provide consulting, tax and estate planning, and accounting services to a variety of business sectors including: real estate, professional services, healthcare, technology...
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...
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...
From individuals and entrepreneurs, small and medium-sized businesses, right through to large corporations and government bodies, our administrative assistants are helping our clients become more efficient by streamlining their processes...
Bay Forward is a multinational ecosystem service provider and technology consulting firm specializing in Enterprise Resource Planning (ERP) implementations, artificial intelligence, and financial management. They help businesses automate operations and scale by providing fractional CFO services, bookkeeping...
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...
Founded in 2020 and headquartered in Houston, Mindwhiz provides flexible staff augmentation services designed to meet workforce demands across construction, IT (cybersecurity), accounting and finance. We help companies scale faster with skilled talent, delivered through a hybrid model that blends global reach...
Unleashing the Power of Business Consulting in the New World
ZG Worldwide Consultants, a service mark of Zukunft Group Worldwide LLC, is your trusted partner in unleashing the power of business consulting in the new world. Contact us to explore our extensive Roster of Associates, complete with expertise summaries for each consultant...
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...
We are an emerging IT and business consulting company providing services to industry leading clientele in North America, Europe and the Middle East. Our purpose is to enable our partners to build sustainable competitive advantage. We achieve this by enhancing organizational capabilities and optimizing...
Transform your digital landscape with our bespoke Digital Marketing Services & Ecommerce Solutions!
Founded in 2006, Saevah is an ISO 9001 Certified company, and a trusted partner for digital marketing and ecommerce solutions that require the perfect balance of technology and people power...
Eliminate Technology Frustrations, Headaches, and Downtime.
Ideal Managed Solutions provides complete business IT and cybersecurity solutions, from network and devices security, to user productivity and management, to business online marketing. We aim to become your technology partner, not just another vendor...
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...
Silicon Valley Finance Group (SVFG) delivers comprehensive accounting and financial services tailored for venture-backed startups. With a focus on growth strategies, data analytics, and chief financial officer support, SVFG helps companies navigate their financial journey from inception to profitability. Its...
A top Utah CPA firm serving clients in a wide range of privately held businesses. Creating a culture that adds value to the lives of our clients and colleagues. Recognized leader as a Utah CPA Company.Our Utah accounting services include:• Income Tax Preparation• Outsourced CFO Services• Business...
iRapidO Global is a Business Process Management organization delivering scalable back-office and operational support to growing businesses worldwide. We combine domain expertise, structured process frameworks, automation, and AI-enabled tools to help companies improve efficiency, control costs, and focus on...
Break Barriers, Scale Smarter, & Lead with Innovation.
PaceXgrowth is a forward-thinking technology solutions provider, dedicated to transforming businesses with cutting-edge software, AI-driven innovations, cloud solutions, healthcare software solutions, fitness app development solutions, Game development, and fintech software solutions. Our expertise lies in...
Clark Outsourcing is a Philippines-based outsourcing company providing reliable offshore staffing and remote workforce solutions to businesses worldwide...
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.
-logo-listing-webp.webp){kind=logo}
Proposals