Thanks for this. I didn't know about the built-in-cd. For anyone on macOS trying to get Alt-C to work see https://github.com/junegunn/fzf/issues/164.
Apparently an option_as_alt option should also be introduced in the next release.
Another possibility is to fix it via eg the terminal emulator - but that doesn't work for global hotkeys like window management with yabai via skhd.
See my comment on lobsters: https://lobste.rs/s/nvoikx/helix_notes#c_m8guuh