Its group completion must add an inverse for all elements. We will denote the formal inverse of x by the symbol x' with the relations xx' = x'x = 1 where 1 denotes the empty string. This cancellative concatenation is commutative because xx' and x'x both equal 1. Thus a string can be identified (though not uniquely) by a pair of natural numbers (m,n) that count the number of x and x' occurrences.
To see the connection with the sign representation of integers, add an orientation to the relations xx' = x'x = 1 to get the length-shortening reduction rules xx' -> 1, x'x -> 1. It's then easy to see that every string has a unique normal form that is either empty or consists entirely of x symbols or entirely of x' symbols, corresponding to the cases 0, +n and -n, respectively. For if a string is not of this form it must have at least one x and one x' element. But then there must be at least one adjacent pair of x and x' elements. Hence the string admits a reduction and cannot be a normal form.