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.
Financial Visibility Starts Here.
Outsourced NetSuite accounting and fractional CFO services for $5-$100M companies. Clean books, a 5-day close and the NetSuite reporting you need to drive decisions...
Top Services:
- Accounting
- Business Consulting
- BPO
- Location
- Las Vegas, Nevada
- Number of Employees
- Under 49
- Minimal Budget
- $1,000 - $10,000
PKF, P.C. has trusted accountants and business advisers that are ready to provide the services you are looking for. We are a full service accounting firm providing audit, tax and consulting services. With offices in both Boston and Quincy, Massachusetts, we are conveniently located to provide close contact...
Top Services:
- Accounting
- Business Consulting
- Location
- Boston, Massachusetts
- Number of Employees
- Under 49
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...
Top Services:
- Accounting
- Business Consulting
- Location
- Northfield, New Jersey
- Number of Employees
- 100 - 249
Tailored Accounting Support
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...
Top Services:
- Accounting
- Business Consulting
- Location
- Cherry Hill, New Jersey
- Number of Employees
- Under 49
Olsen Thielen is a full-service accounting and consulting firm
Olsen Thielen is a full-service accounting and consulting firm, and a “Top 25” firm in Minneapolis and St. Paul, Minnesota...
Top Services:
- Accounting
- Business Consulting
- Location
- Roseville, Minnesota
- Number of Employees
- 100 - 249
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...
Top Services:
- Accounting
- Business Consulting
- Location
- Hartford, Connecticut
- Number of Employees
- 100 - 249
Payroll, HR, and ComplianceMade Simple.
Paper Trails provides payroll and HR services to businesses throughout New England...
Top Services:
- Accounting
- HR Outsourcing
- Location
- Kennebunk, Maine
- Number of Employees
- Under 49
The CPA and Advisory Firm Designed to Lead You
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...
Top Services:
- Accounting
- Business Consulting
- Location
- Austin, Texas
- Number of Employees
- 100 - 249
- Minimal Budget
- $1,000 - $10,000
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
Certified Public Accountants.
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...
Top Services:
- Accounting
- Business Consulting
- Location
- Layton, Utah
- Number of Employees
- Under 49
Numbers Tell The Story
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...
Top Services:
- Accounting
- Business Consulting
- Location
- Helotes, Texas
- Number of Employees
- Under 49
Transform the Way You Grow
Raseed is business management software for sales, inventory, expenses, customers, billing, and reports, all managed from one place...
Top Services:
- Accounting
- Software Development
- Location
- Round Rock, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $500/hr
- Minimal Budget
- Under $1,000
LTCPro is a US-based healthcare outsourcing company providing revenue cycle management, medical billing, prior authorization, payroll, accounts payable, and bookkeeping exclusively for Skilled Nursing and Assisted Living facilities. Built for 25 to 50 bed operators who need specialist back-office support...
Top Services:
- Accounting
- BPO
- Location
- Pocatello, Idaho
- Number of Employees
- Under 49
- Average Hourly Rate
- $10/hr
- Minimal Budget
- Under $1,000
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...
Top Services:
- BPO
- Accounting
- Location
- Las Vegas, Nevada
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $30/hr
Invensis Technologies Achieves 80% Payment Recovery Improvement for US Healthcare Client Through AI-
Invensis Technologies Achieves 80% Payment Recovery Improvement for US Healthcare Client Through AI-Human Parallel Processing Model...
Top Services:
- Call Centers
- Accounting
- Logistics
- Phone Answering Services
- Customer Support
- Show more
- Location
- Lewisville, Texas
- Number of Employees
- 1000 & Up
- Portfolios Count
- 4 Projects Listed
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...
Top Services:
- HR Outsourcing
- Accounting
- Location
- Seymour, Connecticut
- Number of Employees
- Under 49
- Portfolios Count
- 2 Projects Listed
Modern Accounting Built To Grow Your Business
Hiline offers bookkeeping, tax, and payroll services for small businesses, providing tailored financial solutions to streamline operations and support growth...
Top Services:
- Accounting
- HR Outsourcing
- BPO
- Location
- Syracuse, New York
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $1/hr
Every Specialty. Billed Right.
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...
Top Services:
- Accounting
- Digital Services
- Digital Marketing
- Business Consulting
- Market Research
- Show more
- Location
- Manassas, Virginia
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $50,000 & Up
- Portfolios Count
- 1 Project Listed
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...
Top Services:
- Customer Support
- BPO
- Business Consulting
- Accounting
- Show more
- Location
- Cranberry, Pennsylvania
- Number of Employees
- Under 49
- Average Hourly Rate
- $250/hr
- Minimal Budget
- $1,000 - $10,000
Medical Billing & RCM Company For Healthcare Practices
Revix MD provides medical billing, revenue cycle management, medical coding, claims processing, denial management, AR recovery, and practice management services for healthcare providers across the United States...
Top Services:
- Business Consulting
- Accounting
- BPO
- Location
- Corona, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $20/hr
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...
Top Services:
- Accounting
- Cybersecurity
- ERP Consulting
- ECM Consulting
- Big Data Analytics
- Show more
- Location
- Chicago, Illinois
- Number of Employees
- 250 - 499
Innovative Solutions, Unmatched Value
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...
Top Services:
- Call Centers
- Accounting
- Location
- Knoxville, Tennessee
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- Business Consulting
- Accounting
- Location
- Tinton Falls, New Jersey
- Number of Employees
- 100 - 249
Reliable Financial & Consulting Solutions
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...
Top Services:
- Business Consulting
- Accounting
- Location
- Raleigh , North Carolina
- Number of Employees
- Under 49
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...
Top Services:
- Business Consulting
- Accounting
- Location
- Pittsburgh, Pennsylvania
- Number of Employees
- 250 - 499
People-first Hr With Practical Integrity
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...
Top Services:
- HR Outsourcing
- Accounting
- Location
- Palm Desert, California
- Number of Employees
- Under 49
- Average Hourly Rate
- $250/hr
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- Business Consulting
- Accounting
- Location
- Raleigh , North Carolina
- Number of Employees
- Under 49
- Minimal Budget
- $10,000 - $25,000
Dental Billing Service
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...
Top Services:
- Business Consulting
- Accounting
- Location
- Philadelphia, Pennsylvania
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $1,000 - $10,000
Your Trusted Partner For All Your Business Needs
Allianze Infosolution is a leading BPO and AI data automation company in the USA offering data processing, virtual assistance, finance, healthcare, and engineering solutions...
Top Services:
- BPO
- Accounting
- Location
- Denver, Colorado
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $1,000 - $10,000
Billing You Can Trust
The Ashez Group helps healthcare practices simplify medical billing, credentialing, and revenue cycle management while reducing denials and improving collections...
Top Services:
- BPO
- Business Consulting
- Customer Support
- Accounting
- Show more
- Location
- Fairfax, Virginia
- Number of Employees
- Under 49
- Average Hourly Rate
- $36/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
Simplifying Billing. Maximizing Revenue.
TRUCARE is a trusted medical billing and revenue cycle management company helping healthcare providers simplify billing, improve collections, and maximize revenue...
Top Services:
- BPO
- Business Consulting
- Accounting
- Location
- Bermuda Dunes, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $100/hr
- Minimal Budget
- $10,000 - $25,000
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...
Top Services:
- Big Data Analytics
- BPO
- AI Development
- Managed Services
- Business Consulting
- Show more
- Location
- Laguna Beach, California
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $10,000 - $25,000
Where Process Meets Partnership
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...
Top Services:
- HR Outsourcing
- Accounting
- Staff Augmentation
- Location
- Columbia, Maryland
- Number of Employees
- Under 49
Empowering Organizations to Thrive.
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...
Top Services:
- Business Consulting
- Accounting
- Cybersecurity
- Location
- Lexington, Kentucky
- Number of Employees
- 100 - 249
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...
Top Services:
- BPO
- Accounting
- Customer Support
- Location
- Madison, Wisconsin
- Number of Employees
- Under 49
- Average Hourly Rate
- $15/hr
Co-create Smarter Businesses.
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...
Top Services:
- Big Data Analytics
- Accounting
- AI Development
- Location
- New York City, New York
- Number of Employees
- 1000 & Up
Trusted Medical Billing Company
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...
Top Services:
- BPO
- Accounting
- Digital Marketing
- Location
- Dallas, Texas
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $10/hr
- Minimal Budget
- $1,000 - $10,000
The Talent Advantage
Extend Staffing is an international staffing, recruitment, and HR services agency that helps organizations hire skilled candidates, fill critical roles, and build stronger teams...
Top Services:
- HR Outsourcing
- Accounting
- Transcription Services
- Location
- Houston, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
Dedicated virtual assistants, fully vetted and fully managed.
Stellar Staff places dedicated, full-time virtual assistants with US businesses that need real capacity, not another freelancer to manage. Clients interview a shortlist of pre-vetted candidates, pick the one they want, and start in five to six days. We handle sourcing, screening, onboarding, payroll, taxes...
Top Services:
- BPO
- Customer Support
- HR Outsourcing
- Call Centers
- Accounting
- Show more
- Location
- Newport Beach, California
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
Providing Tools And Resources To Businesses
Clark Outsourcing is a Philippines-based outsourcing company providing reliable offshore staffing and remote workforce solutions to businesses worldwide...
Top Services:
- BPO
- Accounting
- Call Centers
- HR Outsourcing
- Show more
- Location
- St. Petersburg, Florida
- Number of Employees
- 500 - 999
Delegate The Grind. It's Time To Shine!
Simpalm Staffing helps U.S. businesses build reliable remote teams with vetted professionals from Latin America. It provides specialized virtual assistants, bookkeepers, virtual paralegals, and remote staff for operational support. Its hiring process combines screening with AI-assisted matching to identify...
Top Services:
- Customer Support
- Accounting
- BPO
- Staff Augmentation
- Show more
- Location
- Chicago, Illinois
- Number of Employees
- 50 - 99
Revolutionize Your Healthcare Practice.
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...
Top Services:
- BPO
- Web Design
- WordPress Website Design
- Managed Services
- IT Services
- Show more
- Location
- Chicago, Illinois
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
Law Firm Support Services
Equivity provides dedicated virtual assistant services to individuals, and to entrepreneurs and businesses looking for paralegal, administrative, marketing and bookkeeping support...
Top Services:
- Call Centers
- Accounting
- BPO
- PPC
- Digital Marketing
- Show more
- Location
- Las Vegas, Nevada
- Number of Employees
- Under 49
Accounting & Business Consulting
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...
Top Services:
- HR Outsourcing
- Business Consulting
- Accounting
- Location
- Boston, Massachusetts
- Number of Employees
- Under 49
Keeping Everything Connected
Outsourced Accountants and CFOs, Specializing in NetSuite, QuickBooks, And more niche accounting software integration...
Top Services:
- Business Consulting
- Customer Support
- Accounting
- Location
- Atlanta, Georgia
- Number of Employees
- Under 49
- Average Hourly Rate
- $1000/hr
Trusted Expertise
AccordPro delivers trusted healthcare billing, credentialing, and bookkeeping solutions with precision and efficiency. Its value lies in maximizing reimbursements, ensuring error-free claim management, and providing reliable financial clarity...
Top Services:
- Customer Support
- Business Consulting
- Accounting
- Location
- Seattle, Washington
- Number of Employees
- Under 49
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...
Top Services:
- Digital Marketing
- Business Consulting
- Accounting
- IT Services
- Show more
- Location
- Springfield, Illinois
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $100/hr
- Minimal Budget
- Under $1,000
Streamlining Credentialing, Empowering Care
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...
Top Services:
- BPO
- Business Consulting
- Accounting
- Staff Augmentation
- Show more
- Location
- Jacksonville, Florida
- Number of Employees
- Under 49
- Average Hourly Rate
- $100/hr
- Minimal Budget
- $1,000 - $10,000
Scaling Made Effortless.
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...
Top Services:
- Business Consulting
- Software Development
- Accounting
- Web Design
- Digital Marketing
- Show more
- Location
- El Paso, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $135/hr
- Minimal Budget
- $1,000 - $10,000
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...
Top Services:
- Customer Support
- BPO
- Market Research
- Transcription Services
- Translation Services
- Show more
- Location
- New York City, New York
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $24/hr
Accounting Firms by City
Accounting Firms by State
Accounting Specializations in the US
Popular Services
Why companies trust DesignRush
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.















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