With assistance, I was able to get this working:
Code:
SELECT *
FROM (SELECT tblTechnicalDenialAdjustments.TechnicalDenialAdjustmentID, tblTechnicalDenialAdjustments.TransactionAlias, tblTechnicalDenialAdjustments.Encounter, tblTechnicalDenialAdjustments.TransactionAmount, tblTechnicalDenialAdjustments.ActivityDate
FROM tblTechnicalDenialAdjustments) AS sqry
INNER JOIN (SELECT tblTechnicalDenialAdjustments.TechnicalDenialAdjustmentID, tblTechnicalDenialAdjustments.TransactionAlias, tblTechnicalDenialAdjustments.Encounter, tblTechnicalDenialAdjustments.TransactionAmount, tblTechnicalDenialAdjustments.ActivityDate FROM tblTechnicalDenialAdjustments) AS sqry2
ON (sqry.TransactionAmount = (sqry2.TransactionAmount*-1)) AND (sqry.Encounter = sqry2.Encounter);
This appears to be returning the correct records. I will need to do some additional verification, but I think I'm at least on the right track.