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.
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
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- Location
- Manassas, Virginia
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $50,000 & Up
- Portfolios Count
- 1 Project Listed
Wipfli is a leading accounting and business consulting firm, ranking among the top 20 in the nation. With a century of experience and a forward-thinking approach, we help clients achieve lasting results. Our team of eternal students brings cross-industry expertise and creativity to solve complex challenges...
Top Services:
- BPO
- HR Outsourcing
- Business Consulting
- Accounting
- Mobile App Development
- Show more
- Location
- Billings, Montana
- Number of Employees
- 1000 & Up
Withum can be the new business advisor relationship you need to inspire innovation for your growth and success. Experience a fresh perspective on embracing what you’ve learned and refocusing your business strategy to thrive in an evolving, complex business environment. Whether you’re looking to strengthen...
Top Services:
- Accounting
- HR Outsourcing
- Cybersecurity
- IT Services
- Show more
- Location
- San Francisco, California
- Number of Employees
- 1000 & Up
KnowledgePath is a specialized business consulting firm that excels in lean technology-enabled business transformation. With a client-centric approach, we focus on delivering sustainable improvements in people, processes, and business performance. Our independent stance towards technology and software...
Top Services:
- Accounting
- Business Consulting
- Cloud Consulting
- ERP Consulting
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- Location
- Birmingham, Alabama
- Number of Employees
- 100 - 249
TekisHub is Staff Augmentation, Software Development, and Recruitment Process Outsourcing Company. TekisHub work with clients with variety of services and provide multi-platform application solutions and services...
Top Services:
- Accounting
- BPO
- Staff Augmentation
- IT Services
- Show more
- Location
- Wilmington, Delaware
- Number of Employees
- 1000 & Up
At RKL, we are a professional services firm deeply rooted in finance and driven by our commitment to tangible outcomes, trusted advice and measurable results...
Top Services:
- Accounting
- Business Consulting
- IT Services
- Software Development
- Show more
- Location
- Lancaster, Pennsylvania
- Number of Employees
- 500 - 999
With over 20 years of private industry tax and public accounting experience, PMBA's State & Local and Federal Tax experts can help you tackle all your complex, multi-state Sales & Use tax needs, claim valuable tax incentives and credits like the R&D Tax Credit, conduct Due Diligence, and implement tax...
Top Services:
- Business Consulting
- Accounting
- Location
- New York City, New York
- Number of Employees
- Under 49
- Average Hourly Rate
- $250/hr
SBCHR provides HR consulting, compliance, recruiting, and benefits support to help businesses manage employees, reduce risk, and grow...
Top Services:
- HR Outsourcing
- Accounting
- Location
- Las Vegas, Nevada
- Number of Employees
- Under 49
- Average Hourly Rate
- $250/hr
- Minimal Budget
- $1,000 - $10,000
CDH is an international accounting and consulting firm with headquarters in Chicago and Itasca since 1996...
Top Services:
- Accounting
- HR Outsourcing
- Business Consulting
- Software Development
- IT Services
- Show more
- Location
- Chicago, Illinois
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $125/hr
- Minimal Budget
- $1,000 - $10,000
Coforge stands as a global digital services and Cloud Consulting provider, enabling clients to transform through domain expertise and innovative technologies. Focused on select industries, we leverage Cloud, Data, Integration, and Automation to create intelligent businesses. With presence in 21 countries and...
Top Services:
- Cybersecurity
- Digital Marketing
- Business Consulting
- IT Services
- Accounting
- Show more
- Location
- Atlanta, Georgia
- Number of Employees
- Under 49
- Average Hourly Rate
- $100/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
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
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
Bitrupt specializes in transforming ideas into successful digital products. We offer custom software development, mobile and web application development, product consulting, UI/UX design, and AI solutions. By combining technical expertise with strategic thinking, we help businesses unlock new opportunities...
Top Services:
- Web Development
- Software Development
- Mobile App Development
- UI/UX Design
- Customer Support
- Show more
- Location
- Dover, Delaware
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $25/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 2 Projects Listed
Crowe LLP is a global accounting firm offering audit, tax, advisory, and consulting services. With deep industry expertise, we empower businesses to make informed decisions for lasting value. Recognized as a top workplace, we leverage our partnership with Crowe Global to provide comprehensive solutions...
Top Services:
- Accounting
- HR Outsourcing
- Business Consulting
- Market Research
- BPO
- Show more
- Location
- Chicago, Illinois
- Number of Employees
- 1000 & Up
We're a Detroit-based accounting and consulting firm helping growth-driven entrepreneurial companies compete in the global marketplace. Specializing in manufacturing & distribution companies, industrial automation businesses, architect & engineering firms and businesses expanding to and from the U.S. Check...
Top Services:
- Accounting
- Business Consulting
- IT Services
- Cybersecurity
- eCommerce Development
- Show more
- Location
- Southfield, Michigan
- Number of Employees
- 100 - 249
Accorp Partners is a US-based, AICPA-accredited CPA firm helping startups navigate SOC 2, ISO 27001, PCI DSS, and HITRUST audits without the enterprise overhead. Unlike many compliance vendors that only offer readiness consulting, our audits are led by licensed CPAs giving founders genuine attestation-grade...
Top Services:
- IT Services
- Business Consulting
- Accounting
- Cybersecurity
- IT Compliance Solution
- Show more
- Location
- California City, California
- Number of Employees
- Under 49
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
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- Location
- Chicago, Illinois
- Number of Employees
- 250 - 499
CloudRCM Solutions is a nationwide medical billing and revenue cycle management company helping healthcare providers improve collections, reduce denials, and streamline billing operations. Our services include medical billing, coding, credentialing, A/R management, denial management, and revenue cycle support...
Top Services:
- Accounting
- Customer Support
- Call Centers
- Transcription Services
- BPO
- Show more
- Location
- Park Ridge, Illinois
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $25/hr
Fresnel Partners is a Yardley, PA-based financial services firm delivering tax preparation, accounting, and strategic advisory solutions...
Top Services:
- Accounting
- Market Research
- Business Consulting
- Call Centers
- BPO
- Show more
- Location
- Delaware City, Delaware
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $400/hr
- Minimal Budget
- $1,000 - $10,000
Digital Minds BPO services are among the top BPO company in the Philippines offering front office and back office services. They offer various services like customer support, back office support, creative services and technical support. Their global presence and expertise in BPO solutions have earned them a...
Top Services:
- BPO
- Accounting
- Location
- Wilmington, Delaware
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $8/hr
- Minimal Budget
- $1,000 - $10,000
Bowman has earned a reputation for providing innovative, forward-thinking tax planning strategies, consulting services, and audit and accounting services in a personalized, fun way. We are trusted business and financial advisors to closely-held and family businesses in the Stockton region, throughout...
Top Services:
- Business Consulting
- Accounting
- Location
- Stockton, California
- Number of Employees
- 100 - 249
Web Leads provides high-quality leads to small, medium, and large companies. Our unique dedication to our clients shows in the form of excellent leads, industry-leading customer service, private consulting, and sales training. This has made Web Leads one of the most-trusted names in the industry...
Top Services:
- SEO
- Accounting
- Location
- Dover, Delaware
- Number of Employees
- 100 - 249
- Minimal Budget
- Under $1,000
E Talent Network started with a vision to help businesses to recruit the best talent globally, our company provides RPO (Recruitment Process Outsourcing) which has been our core area since our inception. Our aim is to help our clients recruit top talent, with ease. We ensure that our clients not only save...
Top Services:
- HR Outsourcing
- Accounting
- Location
- McLean, Virginia
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $50/hr
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
IQ BackOffice is the leading accounting automation provider, offering 99.97% quality and up to 68% savings to companies around the globe...
Top Services:
- BPO
- Accounting
- Location
- El Segundo, California
- Number of Employees
- 500 - 999
- Average Hourly Rate
- $20/hr
- Minimal Budget
- $10,000 - $25,000
NCheng LLP was founded in 1989 in New York City. Our practice is dedicated entirely to serve the not-for profit community and we have achieved broad recognition and reputation for our high quality professional services. We provide a full range of services in audits, accounting and financial management support...
Top Services:
- BPO
- Accounting
- Location
- New York City, New York
- Number of Employees
- 100 - 249
We are a CPA Firm based in San Antonio, TX with a team of smart, hardworking and light-hearted accounting professionals who are passionate about helping fellow business owners succeed...
Top Services:
- Business Consulting
- Accounting
- Location
- San Antonio, Texas
- Number of Employees
- Under 49
Dukhon Tax has been serving Greater Boston since 2011 and delivering expertise to our business and individual clients. Our focus on customer service and the client experience makes us unique in our industry. We are Certified Public Accountants for the modern world – more than just number-crunchers, we are...
Top Services:
- HR Outsourcing
- Accounting
- Location
- Boston, Massachusetts
- Number of Employees
- Under 49
We are Edelstein & Company LLP. A firm that values its people, its clients and its community. As a CPA firm based in downtown Boston, MA, with a second office in Burlington, MA, we provide accounting, tax, business consulting, and financial planning services to individuals and businesses. From our founding...
Top Services:
- Business Consulting
- Accounting
- Location
- Burlington, Massachusetts
- Number of Employees
- 100 - 249
Not all accountants are alike. At AG Tax, Accounting and Payroll Group, we are different. We work with you to grow your bottom line.For over 10 years, our accounting specialists have been dedicated to serving the needs of entrepreneurial and middle- market businesses and high-net worth individuals and...
Top Services:
- Business Consulting
- Accounting
- Location
- Boston, Massachusetts
- Number of Employees
- Under 49
Milam, Knecht & Warner, LLP is a valuable strategic and competitive advantage for your business. Many CEO’s and business owners tell us that various business issues keep them up at night. We have solved these late night worries by providing the tools and processes needed to proactively optimize, measure...
Top Services:
- Business Consulting
- Accounting
- Location
- Glendale, California
- Number of Employees
- Under 49
The Hilb Difference. Hilb offers more. Payroll is essential to every company and employee, but can be costly. Hilb Groups combination of knowledge, expertise, and advanced technology provides a better way. As leaders in our field, we have earned a distinguished reputation of providing accurate payroll...
Top Services:
- HR Outsourcing
- Accounting
- Location
- Mansfield, Massachusetts
- Number of Employees
- 100 - 249
Consolidated Analytics provides the real estate finance industry with an end-to-end mortgage services platform that delivers value to its customers, from asset-level analyses through enterprise-wide optimization. By harnessing the power of data and technology — and by tapping into the expert insights of our...
Top Services:
- BPO
- Accounting
- Location
- Anaheim, California
- Number of Employees
- Under 49
VargasAndrews is an international professional services firm specializing in business transformations and turnarounds. Our vision is to become an international market leader in business & digital transformations. We exist to transform businesses and business owner's quality of life. We are motivated and...
Top Services:
- BPO
- Accounting
- Location
- Los Angeles, California
- Number of Employees
- Under 49
At Boxelder Consulting, our full-service tax relief, accounting, bookkeeping, and business consulting departments make us a one-stop-shop for long-term financial resolution. During your initial consultation, our team will review not only your current year, but your past as well, with the goal of ensuring that...
Top Services:
- Business Consulting
- Accounting
- Location
- Denver, Colorado
- Number of Employees
- Under 49
As a business owner or leader, have you given up on having quality bookkeeping and financial reporting for your business? Barta Business Group is a team of bookkeeping, accounting, and finance professionals providing outsourced solutions for small and mid-sized businesses and nonprofits...
Top Services:
- Business Consulting
- Accounting
- Location
- Denver, Colorado
- Number of Employees
- Under 49
- Average Hourly Rate
- $125/hr
- Minimal Budget
- $1,000 - $10,000
At Sanderson, what’s important isn’t just what we do—it’s also how we do it. Our philosophy is one that puts the needs of our clients first, without exception, and is based on the belief that trust is earned, not assumed. We take great satisfaction, both personal and professional, when our clients...
Top Services:
- Business Consulting
- Accounting
- Location
- Buffalo, New York
- Number of Employees
- 50 - 99
Client-centered Accounting & Advisory Services. We assist businesses in achieving success by providing virtually enabled, scalable, and cost-effective business solutions. Working with a diverse clientele, our Buffalo, NY, CPA team provides highly personalized and quality solutions tailored to niche...
Top Services:
- Business Consulting
- Accounting
- Location
- Buffalo, New York
- Number of Employees
- Under 49
We founded the ESC in 1995 to meet the increasing Human Resources and Employment Administration needs of the growing small & medium-sized business market in Western New York and throughout the country. Each client of the ESC started with a conversation – an opportunity for our team to learn about the...
Top Services:
- HR Outsourcing
- Accounting
- Location
- Buffalo, New York
- Number of Employees
- 50 - 99
Conlon & Company is an accounting firm committed to providing close, personal attention to our clients. We believe in the value of relationships. We view every client relationship like a partnership, and truly believe that our success is a result of your success...
Top Services:
- BPO
- Accounting
- Location
- Rochester, New York
- Number of Employees
- Under 49
Nacca & Capizzi, LLP is an accounting firm strive to help each client achieve their maximum potential through sound and efficient accounting and close, personalized services. Our wide range of experience and a portfolio of fully integrated services allow us to go beyond just the numbers...
Top Services:
- Business Consulting
- Accounting
- Location
- Rochester, New York
- Number of Employees
- Under 49
At MMB, you will be part of a team approach to serving clients.Our mission is to help grow and sustain a diverse and inclusive work environment that reflects the communities we come from, the clients we serve, and the growth needed in our industry. Get to know our dedicated staff that will be serving you!...
Top Services:
- Business Consulting
- Accounting
- Location
- Rochester, New York
- Number of Employees
- 100 - 249
Flaherty Salmin is a full service professional Firm of Certified Public Accountants serving national Affordable Housing clients, Rochester-area businesses, and a large portfolio of individual clients...
Top Services:
- Business Consulting
- Accounting
- Location
- Rochester, New York
- Number of Employees
- 50 - 99
EFPR Group, LLP is one of Western New York’s largest accounting and business consulting firms serving clients across the United States and around the globe. The firm is headquartered in Rochester, New York with offices in Albany, Buffalo, Corning, and Jupiter, Florida...
Top Services:
- Business Consulting
- Accounting
- Location
- Rochester, New York
- Number of Employees
- 100 - 249
Our firm is responsive. Companies who choose our firm rely on competent advice and fast, accurate personnel. We provide total financial services to individuals, large and small businesses and other agencies. We are one of the leading firms in the area. By combining our expertise, experience and the energy of...
Top Services:
- Business Consulting
- Accounting
- Location
- Miami, Florida
- Number of Employees
- Under 49
- Average Hourly Rate
- $125/hr
Accountants On Air is a highly skilled Accounting Firm offering inventive accounting services and tax planning solutions for entrepreneurs, small business owners, and individuals who live in the US or abroad. Our main target is to assist our clients wherever they are located. We use the latest technology...
Top Services:
- Business Consulting
- Accounting
- Location
- New York City, New York
- Number of Employees
- Under 49
- Average Hourly Rate
- $18/hr
- Minimal Budget
- $10,000 - $25,000
Pasquesi Partners provide full-service accounting and tax solutions to tech and agency businesses. Our mission is to help growth-stage businesses manage the comprehensive financials required to turn visions into reality. Like traditional accounting firms, we handle the basics: bookkeeping, payroll, tax...
Top Services:
- BPO
- Accounting
- Location
- Chicago, Illinois
- Number of Employees
- Under 49
- Average Hourly Rate
- $125/hr
- Minimal Budget
- $1,000 - $10,000
E&Q Tax Accounting & Business Solutions in Hackensack NJ has been providing our clients the highest quality of personal and business income tax preparation for over 25 years...
Top Services:
- Business Consulting
- Accounting
- Location
- Hackensack, New Jersey
- Number of Employees
- Under 49
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
Founded by Charlie Greer and Kevin Walker in 1984, GreerWalker LLP has developed into one of the leading accounting and business advisory firms based in the Carolinas, with a total staff of more than 100 associates including eighteen partners...
Top Services:
- Business Consulting
- Accounting
- Location
- Charlotte, North Carolina
- Number of Employees
- 100 - 249
Accounting Firms by City
Accounting Firms by State
Accounting Specializations in the US
Why companies trust DesignRush
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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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