If it has scaled up in under 5 years that's usually an indication of water-hardness. An acid flush may solve it temporarily, but it's likely to scale up even more quickly the second time around. A better investment (but more money, for sure) would be to spend the money on an indirect-fired tank HW heater and a water softening system. An indirect will run higher efficiency too, since you can let the boiler cold-start, and the tank has far better insulation & capacity, and you can run it at lower temp than the boiler for lower standby loss. (Oil is expensive, and embedded coils are about the least-efficient legal way to heat hot water when it's not an active heating season.)
An acid flush requires a small acid-proof pump & tubing, breaking the system open, recirculating the acid solution through the coil for some period of time (which will vary with scale thickness & type) then rinsing it for a half hour or so running fresh water through it with the pump. Sometimes white-vinegar is adequate, but otherwise buy a gallon of purpose-designed descalers, which are sligthtly more acidic. Don't try mixing your own out of muriatic acid, or suphuric acic etc (unless you have a degree in chemistry and can live with the results of an error.)