The landscape of accounting and auditing is undergoing a transformative evolution, driven by rapid technological advancements, regulatory changes, and shifting business paradigms. This comprehensive review delves into the contemporary innovations shaping the realm of accounting and auditing and assesses their profound implications for U.S. businesses. Technological innovations, particularly the integration of artificial intelligence and machine learning, have revolutionized traditional accounting processes. Automation tools and advanced data analytics are streamlining routine tasks, enhancing accuracy, and enabling accountants to focus on more strategic, value-added activities. The paper explores how these technological advancements are reshaping the skill sets required in the accounting profession and the consequent impact on professional development and education. Furthermore, the study investigates the evolving role of auditors in an era dominated by Big Data. The adoption of data analytics and blockchain technology is enhancing audit efficiency, transparency, and the overall quality of financial reporting. The analysis emphasizes the importance of auditors embracing these innovations to provide more timely, accurate, and insightful assessments of financial statements. Regulatory changes, such as the implementation of new accounting standards and reporting requirements, also feature prominently in this review. The study examines the challenges and opportunities arising from these regulatory shifts and assesses their impact on financial reporting practices in U.S. businesses. As businesses adapt to these innovations, the paper explores the broader implications for decision-making, risk management, and corporate governance. It sheds light on how the changing landscape of accounting and auditing influences the strategic decision-making processes of organizations, with a focus on fostering transparency and accountability. In conclusion, this comprehensive review synthesizes the multifaceted innovations in accounting and auditing, offering insights into the current trends shaping the industry and their far-reaching consequences for U.S. businesses. The research contributes to a deeper understanding of the challenges and opportunities associated with these transformations, guiding stakeholders in navigating this dynamic landscape effectively.