the short answer
Neuromuscular efficiency is how well your nervous system recruits and coordinates muscle to produce force - the skill side of strength, not the size of the muscle itself. Two people carrying the same muscle can produce very different force, because one has a nervous system that switches on more fibers, fires them faster and times everything better. Improving it is why you can get noticeably stronger in a few weeks without getting visibly bigger, and why a well-drilled lift feels smooth long before it looks impressive. It is trainable, it fades with a long layoff, and it comes back fast.
This article is general training education, not medical advice. If you are new to lifting, returning from injury or managing a health condition, get guidance from a qualified professional before loading heavy.