Near-infrared (NIR) thermally activated delayed fluorescence (TADF) materials have shown great application potential in organic light-emitting diodes, photovoltaics, sensors, and biomedicine. However, their fluorescence efficiency (ΦF) is still highly inferior to those of conventional NIR fluorescent dyes, seriously hindering their applications. This study aims to provide theoretical guidance and experimental verification for highly efficient NIR-TADF molecular design. First, the light-emitting mechanism of two deep-red TADF molecules is revealed using first-principles calculation and the thermal vibration correlation function (TVCF) method. Then several acceptors are theoretically designed by changing the position of the cyano group or by introducing the phenanthroline into CNBPz, and 44 molecules are designed and studied theoretically. The photophysical properties of DA-3 in toluene and the amorphous state are simulated using a multiscale method combined with the TVCF method. The NIR-TADF property for DA-3 is predicted both in toluene and in the amorphous state. Experimental measurement further confirms that the TADF emission wavelength of DA-3 is 730 nm and ΦF is as high as 20%. It is the highest fluorescence efficiency reported for TADF molecules with emission wavelengths larger than 700 nm in toluene. Our work provides an effective molecular design strategy, and a good candidate for highly efficient NIR-TADF emitters is also predicted.