If the scatter plot shows on the vertical axis the balance in dollars, and on the horizontal axis the number of months starting in January 2013,
Then the line of best fit given by:
y = - 44 x + 1000 is representing a y coordinate in dollars and an x coordinate in months.
Then the slope which is normally defined as the "rise" over the "run" is given in units of "dollars" (for the rise in y coordinate) over "number of months" (x coordinate for the run).
Then the correct interpretation is the change in balance of the account per month. This means that the balance in the account when DOWN 44 dollars in average per month. Slope = - 44
The balance in the account reduced an average of $44 per month